Email NCMB
Toll Free - (800) 253.9653
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
.(JavaScript must be enabled to view this email address)
9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
.(JavaScript must be enabled to view this email address)
9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
.(JavaScript must be enabled to view this email address)
9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
.(JavaScript must be enabled to view this email address)
9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
The Limited Volunteer License is available to physicians who are not licensed in North Carolina but wish to volunteer at indigent clinics. The holder of a limited volunteer license shall practice medicine and surgery within the state of North Carolina for no more than 30 days per calendar year and may not receive compensation for services rendered at clinics specializing in the care of indigent patients.
The Physician Assistant expedited license application enables an experienced, eligible physician assistant to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physician Assistants must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application Requirements
The following outlines the required information necessary to obtain a full PA license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resource: NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
2. Submit documentation of a legal name change, if applicable;
3. Submit a recent photograph
On the Board’s form, submit a photograph at least two inches by two inches, certified as a true likeness of the applicant by a notary public;
4. Proof of practice
Provide proof of an active clinical practice, providing patient care for an average of 20 hours or more per week, for at least the last two years.
5. Licensure Status Report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently hold an active full unrestricted license for the previous five years. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physician assistants licensed in Connecticut: The Board requires a “Connecticut Release Form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
6. NCCPA Certification
Submit proof of current certification by the National Commission on Certification of Physician Assistants (NCCPA).
7. U.S. Citizen Status/Immigration Status
Submit a certified copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a certified copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide information about your immigration and work status which the Board will use to verify your ability to work lawfully in the United States.
8. Fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards supplied by the Board to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
.(JavaScript must be enabled to view this email address)
9. Authority to Release Form
Sign and date the “Authority to release form” and return it to the Board.
10. Databank Reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
• Federation of State Medical Boards Board Action Data Bank Report
• National Practitioner Databank/ Healthcare Integrity and Protection Data Bank Report
Once your application is received, it will be forward to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License Renewal
Don’t forget to renew! NC law requires licensed physician assistants to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A registration fee is required.
International Medical School Graduates who meet the criteria for the expedited application process are NOT required to use FCVS.
The expedited license application enables an experienced, eligible physician to obtain a license in North Carolina faster and easier while maintaining the same high quality standards for admission to practice.
Physicians must meet four eligibility requirements in order to apply using the expedited application. To view the necessary requirements, click on the green “Eligibility requirements” box to the right. If you do not meet all four requirements, you are not eligible for an expedited license and will need to complete the full license application.
Application requirements
The following outlines the required information necessary to obtain a full medical license using the expedited pathway. Please read carefully. Failure to submit important information may delay the application process.
An application for license in NC is a confidential matter. We are unable to respond to questions regarding an application from anyone other than the applicant. .(JavaScript must be enabled to view this email address)for more information.
The Board reserves the right to make whatever additional demands on the applicant for licensure it deems appropriate at the time.
Useful resources: Chapter 32B NC Administrative Code and NC General Statutes Chapter 90.
Submit all materials to:
NC Medical Board, PO Box 20007, Raleigh, NC 27619, or
NC Medical Board, 1203 Front Street, Raleigh, NC 27609 (express/overnight deliveries)
Do not submit photocopies or facsimiles unless specifically permitted.
Application credentials and fee are good for 1 year. If you are not issued a license within the year and choose to reapply for a NC license, you will be required to resubmit all application credentials and the application fee.
APPLYING FOR A LICENSE
1. Complete the online application
The Board offers applicants the convenience of applying for licensure online. You must complete the online application and pay necessary fees (Visa/MasterCard) within 30 days to avoid having your application deleted.
Note to applicants: Some applicants have technical difficulties that prevent them from completing all sections of the online application. Hard copies of any forms you are unable to complete during the online application process are available by clicking “download forms” in the list to the right.
2. Licensure status report
Secure a report regarding the status of licensure from at least one state, U.S. territory or Canadian province where you currently holds an active full unrestricted license for the previous five years immediately preceding the application. Most licensing agencies charge a fee for this service. Veridoc is accepted.
Attention physicians licensed in Connecticut: The Board requires a “Connecticut release form” for those licensed in Connecticut. If you are submitting verification of your Connecticut license, you must send this form along with the “Licensure biography form” to the Connecticut Department of Public Health.
3. Board certification
Provide a photocopy of board certification received within the past 10 years by one of the following:
4. U.S. citizen status/Immigration status
Submit a copy of your birth certificate if you were born in the United States or one of its territories. If you were not born in the U.S. or one of its territories, you must submit a copy of the first four pages of a valid, unexpired U.S. passport.
If you are unable to submit a U.S. birth certificate or passport you must provide a statement regarding your immigration status. By doing so, you give the NC Medical Board permission to perform an inquiry to confirm the appropriateness of your immigration status.
5. Submit fingerprint cards
The Board conducts state and federal criminal background checks on all applicants. You must submit two completed fingerprint cards to the Board. An application is not considered complete until results of the background check have been received; in approximately eight to 10 weeks. It is recommended that your local law enforcement complete the fingerprinting, and if possible, have different officials complete each card. The SBI suggests applicants use live scan when available. When using live scan, prints cannot be submitted electronically and must be printed on fingerprint cards and submitted to the Board. Using lotion or witch hazel on your hands before being fingerprinted may help avoid fingerprint rejection.
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6. Authority to release form
Sign and date the “Authority to release form” and return it to the Board.
7. Physician profiles and reports
The NC Medical Board will request the following documentation on behalf of each applicant. If the Board is unable to obtain the information, the applicant will be notified and expected to forward the information to the Board.
Once your application is received, it will be forwarded to a staff member for quality assurance review. After it is determined that your application is complete and no additional information is required, your file will be forwarded to a Board member for review. The Board member will determine if a personal interview is required. You will be notified if a personal interview is required. If a personal interview is not required, staff may issue a full license.
License renewal
Don’t forget to renew. NC law requires licensed physicians to renew with the Board within 30 days of their birthday, every year, no matter when the license is issued. A renewal fee is required.
Application for Certification and Registration of a Professional Corporation with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to starting the formation of a professional corporation. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions
Additional information and forms concerning professional corporations are available on the Secretary of State’s website, or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PC-02) and Registration Certificate (NCMB PC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with Board seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
Application for Certification and Registration of a professional limited liability company with the NC Medical Board
It is recommended that you familiarize yourself with the NC Laws (Medical Practice Act, Limited Liability Company Act and the Professional Corporation Act) and Rules (Limited Liability Companies and Corporations) concerning the practice of medicine. For your convenience we also provide a “Guide for Professional Corporations and Professional Limited Liabilities Companies” and Frequently Asked Questions.
Additional information and forms concerning professional limited liability companies are available on the Secretary of State’s website , or you may call (919) 807-2225 | toll-free at (888) 246-7636.
Once documents are mailed to the Board and it has been determined that all statutory requirements are met, the NCMB will return the original articles to you along with the Board issued Certificate (NCMB PLLC-02) and Registration Certificate (PLLC-03).
Creation Filing with the NC Secretary of State (“SOS”) requires the original articles with the NCMB’s seal imprint, the Board issued Certificate and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date.
The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.
Unfiled certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.
This outlines the appropriate requirements for obtaining a license through reinstatement. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Doctors that held a North Carolina Medical License that has been inactive for more than one calendar year are eligible to reinstate their medical license. This requires the submission of materials, payment of $397.50. Fees submitted are not refundable, and a personal interview may be required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. You must secure a report from each state regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC medical Board. The NC Medical Board accepts license verifications through the veridoc service.
3. Two recommendations must be from physicians using the physician reference forms. Recommendations must not be from a relative. These forms must be sent from the reference source directly to the NC medical Board.
4. ECFMG: Graduates of foreign medical schools must have a current ECFMG. You will need to contact ECFMG and have a certification status report sent to the NC Medical Board.
Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway program, must furnish verification of passing the ECFMG examination and completion of the 5th Pathway Program. You will need to contact ECFMG and have your score transcript forwarded directly to the NC Medical Board. You can obtain a Fifth Pathway Verification Form, by .(JavaScript must be enabled to view this email address)
5. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
6. In addition to all other requirements for licensure, an applicant shall submit proof that the applicant has within the past 10 years taken and passed either:
USMLE examination
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75
COMVEX examination, Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA), Certificant of the College of Family Physicians of Canada (CCFP), Fellowship of the Royal College of Physicians of Canada (FRCP) and Fellowship of the Royal College of Surgeons of Canada (FRCS).
Completion of GME approved by ACGME, AOA, CFPC or RCPSC.
Submit documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
The following are the approved categories of CME:
(1) Educational Provider-Initiated CME: All education offered by institutions or organizations accredited by the Accreditation Council on Continuing Medical Education (ACCME) and reciprocating organizations or American Osteopathic Association (AOA) including:
(a) Formal courses
(b) Scientific/clinical presentations or publications
(c) Enduring Material (printed or electronic materials)
(d) Skill development
(e) Performance improvement activities
(2) Physician-Initiated CME:
(a) Practice based self study
(b) Colleague Consultations
(c) Study initiated by patient inquiries
(d) Study of community health problems
(e) Successful Specialty Board Exam for certification or recertification
(f) Teaching (professional, patient/public health)
(g) Mentoring
(h) Morbidity and Mortality (M&M) conference
(i) Journal clubs
(j) Creation of generic patient care pathways and guidelines
(k) Competency Assessment
7. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until a response has been received from the appropriate agency. Expect a minimum of eight weeks for the report to be received. First set of fingerprint cards must be submitted with your NCMB application. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week upon receipt of your application for a license, fingerprint cards, authority for release of information form and the fingerprinting fee. The SBI has suggested that using live scan when available may be a more reliable choice. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards.
8. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
1. AMA physician profile.
2. AOA physician profile.
3. FSMB Board Action Data Bank report.
4. NPDB/HIPDB report.
9. Complete the Immigration Status Form.
10. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. Interviews scheduled prior to applicant being notified by NCMB staff that the application is complete may be cancelled.
11. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
Renewal - North Carolina Law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the licensed was issued. A renewal fee is required.
Doctors are eligible to reactivate their North Carolina medical licenses if, and only if, they have had a license in North Carolina and said license has been placed on inactive status within the past calendar year. However, if a license is inactive as a result of a disciplinary action (e.g., revocation, suspension, surrender), then a reinstatement application is required. The reactivation of your license must be complete within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same. Upon completion of your reactivation application and receipt of your fee, you will be advised whether an interview is required.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed Reactivation Application.
2. Complete Immigration Status Form.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail .(JavaScript must be enabled to view this email address) to request a set of fingerprint cards. A set contains 2 fingerprint cards.
4. You will need to document any CME you’ve obtained since your NC license went inactive on the CME log form. If you have not obtained any CME since becoming inactive, you will need to send a letter stating this.
5. When all applications materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the board members decision, your license will be reinstated if a personal interview is not required. INTERVIEWS SCHEDULED PRIOR TO APPLICANT BEING NOTIFIED BY NCMB STAFF THAT APPLICATION IS COMPLETE MAY BE CANCELED.
6. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
REGISTRATION - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
Physicians with an active NC medical license wanting to convert to the Retired Limited Volunteer License must submit a form entitled Conversion of Full License to Retired Volunteer License
Physicians who have held a NC medical license and it has been inactive for less than six months must complete the Retired Limited Volunteer License Application (short form)
Physicians must complete the full Retired Limited Volunteer License Application if they have:
No application fee is required.
All physicians holding a Retired Limited Volunteer License must maintain appropriate CME hours as required by 21 NCAC 32R .0101 - .0104
An annual registration fee will be required.
PAs are eligible to reactivate their license if they have had a license in NC, the license has been placed on inactive status within the past calendar year, and the inactive status is not a result of disciplinary action.
To reactivate your PA license you must complete the reactivation online application (forwarding the Board Action Data Bank Inquiry Form to the Federation of State Medical Boards), pay the required fees and submit two completed fingerprint cards for a criminal background check along with the Authority for Release of Information form. We cannot send your fingerprint cards out without the Authority for Release of Information form.
Please provide your NCCPA CME summary log for the past two years, printed from the NCCPA Web site and bearing your name, along with your NCCPA certification scores verification letter. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
The reactivation of your PA license must be completed within one year of the inactive date to avoid having to submit additional information. Your license will not be retroactive, but your license number will remain the same.
Upon completion of your application and receipt of your fee, you will receive notification. Please check your status online as the database is updated daily.
Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
PAs are eligible to reinstate their license if the license has been inactive for more than one calendar year and/or the license has been inactive as a result of disciplinary action.
This outlines the appropriate requirements for reinstating a Physician Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Complete on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA form in the list to the right.
2. An applicant must submit a recent photograph no smaller than 2 1/2” x 3 1/4”, head and shoulders shot, taken within the past sixty (60) days, of photo paper weight quality, (not a snapshot or home Polaroid). This photo should be certified by your physician assistant program on the Physician Assistant Program Certificate form. This certification must bear the original signature of the Dean or other official of your program. Their official title and the seal of the school must be placed over your photo. This requirement CAN NOT be waived.
3. Verification of NCCPA certification.
4. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information you should contact the respective state board to check the status of your request.
5. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the US.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request fingerpint cards at: fnp@ncmedboard.org. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their Web site bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
REGISTRATION - North Carolina law requires licensed physicians to register with the Board within 30 days of their birth date, ever year, no matter when the license is issued. A registration fee is required.
Physicians holding an active North Carolina Retired Volunteer License who want to convert back to a full and unrestricted license, must complete the Board’s application form; pay the reinstatement fee and provide documentation of 150 hours CME over the past three years, with at least 60 hours Category 1 and 90 hours Category 2. An interview may be required.
This outlines the appropriate requirements for obtaining a special purpose license/special permit. The Board reserves the right to make whatever additional demands on the applicant for license the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. Verification from local facility/group to participate in a learning/teaching procedure giving details stating the name of the local facility/group where the procedure(s) will be performed, length of time of the procedure(s), type of procedure, what the procedure(s) will include and the name of the physician responsible for overseeing the procedure(s).
3. You must have verification of a full, unrestricted license mailed directly to the Board from one licensing jurisdiction. Most licensing agencies charge a fee for this service.
4. Complete the Immigration Status Form.
5. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. .(JavaScript must be enabled to view this email address). A set contains 2 fingerprint cards.
6. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, your file will be forwarded to a Board member for review to determine whether you will be required to appear for a personal interview. You will be notified regarding the Board member’s decision.
Renewal - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a faculty limited license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Section .1500 - Medical School Faculty License
21 NCAC 32 B .1501
A physician holding a Medical School Faculty License may practice only within the confines of the medical school or its affiliates. “Affiliates” means the primary medical school hospital(s) and clinic(s), as designated by the ACGME.
The Medical School Faculty License is limited to physicians who have expertise which can be used to help educate NC medical students, post-graduate residents and fellows but who do not meet the requirements for physician licensure.
A Medical School Faculty Limited License cannot be “reactivated or reinstated”. If the license is made inactive, the physician must reapply.
1. Completed application form.
2. Attach a photograph taken within the past year to the applicant’s oath. Complete the form and have the form notazrized.
3. Sign and return the Eligibility Requirements form to the NCMB.
4. Verification of Faculty Appointment form. Forward form to the medical school where you will hold your appointment.
5. Verification of medical education: Forward form to your medical school for completion.
(a) Transcripts - If you attended one medical school for less or more than the standard four years, or if you attended more than 1 medical school, you must submit original medical school transcripts(s) translated into English, if applicable.
6. Complete the Immigration Status Form and submit required documentation.
7. Two recommendations must be from physicians using the physician reference forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
8. Submit proof on the postgraduate training verification form of completion of at least (1) one year of GME approved by one of the following:
or evidence of other education, training or experience, to be determined by the Board as equivalent.
9. You must secure a report from each state, Canadian province or US territory regarding status of licensure. All licenses, active and/or inactive, must be verified. Most licensing agencies charge a fee for this service. The verifications should be sent directly to the NC Medical Board. The NCMB accept license verification through the veridoc service.
10. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant will be contacted and expected to have this information forwarded to the NC Medical Board.
11. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains 2 fingerprint cards.
12. Fee of $397.50 US dollars ($350.00 application fee, $38.00 background check fee and $9.50 NPDB/HIPDB report fee) is to be paid at the time the application is submitted. Personal checks made payable to the NC Medical Board are acceptable. Checks returned for insufficient funds will require an additional $20.00 fee. Returned checks will have to be replaced by a certified check. FEES RECEIVED ARE NOT REFUNDABLE.
13. When all application materials have been received, your file will be forwarded to a staff member for quality assurance review. If the quality assurance review is complete and no additional information is needed, you file will be forwarded to a board member for review to determine whether you will be required to appear for a personal interview. Upon receipt of the Board members’ decision, your license will be issued if a personal interview is not required.
14. If a physician has been away from clinical practice 2 years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area or medicine. Applicants in this category will be required to appear for a personal interview.
RENEWAL - NORTH CAROLINA LAW REQUIRES LICENSED PHYSICIANS TO RENEW WITH THE BOARD WITHIN 30 DAYS OF THEIR BIRTH DATE, EVERY YEAR, NO MATTER WHEN THE LICENSE IS ISSUED. A RENEWAL FEE IS REQUIRED.
This outlines the appropriate requirements for obtaining a Anesthesiologist Assistant license. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed application form.
2. One Certified Photograph: no smaller than 2 ½” x 3 ¼”, head and shoulders shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your anesthesiologist assistant program on the Anesthesiologist Assistant Program Certification form. This certification must bear the original signature of the Dean or other Official of your program, their official title and the seal of the school must be placed over the photo and mailed to the Board’s address. THIS REQUIREMENT CANNOT BE WAIVED.
3. Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verifications may be obtained by going to the NCCAA website (http://www.aa-nccaa.org/cgi-bin/cert.pl).
4. Applicant must secure a report from each state regarding status of AA licenses now active AND all AA licenses held previously (see enclosed form titled “License Biography from Other States”). Most states charge a fee for this service. Verifications must be sent directly to the North Carolina Medical Board.
5. Three current, original reference forms of recommendation. Reference forms must include the original signature, date and contact information for the author writing the letter. Reference forms must be dated within one year of the received date of the application at NCMB. These forms must be sent from the reference sources directly to the North Carolina Medical Board. .
6. Applicants must submit two completed fingerprint cards along with their application form, application fee and authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card.
7. Continuing Medical Education. Documentation must be provided to show that the Anesthesiologist Assistant is in compliance with all continuing education requirements and recertification requirements of the National Commission for the Certification of Anesthesiologist Assistants or its successor organization.
Registration - North Carolina Law requires licensed anesthesiologist assistants to register with the Board within 30 days of their birth date, every year, no matter when the license is issued. A registration fee is required.
Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.
Please visit the Board of Nursing Web site to access online applications for nurse practitioners.
This outlines the appropriate requirements for obtaining a Physician Assistant license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.’
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Completed on-line application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. Applicant must secure a report from each state regarding status of physician assistant licenses now active AND all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information – you should contact the respective state board to check the status of your request.
3. Three current, original, dated reference forms of recommendation. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
4. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of 8 weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
5. Continuing Medical Education. If you graduated from a PA Program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since your date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
6. Request the Federation of State Medical Boards forward your FCVS Profile to the NC Medical Board.
7. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
This outlines the appropriate requirements for obtaining a Physician Assistant license without using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609
Please do not submit photocopies or facsimilies unless specifically permitted.
Please note: You must complete your application and have been issued a PA license to practice in North Carolina before you can complete the PA Intent to practice form to the right.
1. Complete online application form. If you have problems downloading any forms while completing the online application you may print them by clicking on download PA forms in the list to the right.
2. One certified photograph: no smaller than 2 1/2 ” x 3 1/4”, head and shoulder’s shot, taken within the past sixty (60) days, of durable quality, (not a snapshot or home Polaroid) to be certified by your physician assistant program on the Physician Assistant Program Certification Form. This certification must bear the original signature of the Dean or other official of your program, their official title and the seal of the school must be placed over the photo and can be included with your application package. This requirement can not be waived.
3. Verification of NCCPA certification.
4. The applicant must secure a report from each state regarding status of physician assistant licenses now active and all licenses held previously. Most states charge a fee for this service and some organizations will not return the information to you. If you do not receive the requested information please contact the respective state board to check the status of your request.
5. Three current, original reference forms. Reference forms must include the original signature, date and contact information for the person completing the reference form. Reference forms must be dated within one year of the received date of the application at NCMB.
6. If it has been more than six months since you received your PA degree, you must request a Board Action Data Bank Inquiry from the Federation of State Medical Boards of the U.S.
7. Applicants must submit two completed fingerprint cards with the authority for release of information form for the purpose of conducting a criminal background check. Expect a minimum of eight weeks for the report to be received. since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI suggests that using a live scan when available may be a more reliable choice. When possible have different officials complete each card. We cannot send your fingerprints out without the authority for release of information form. Request for fingerprint cards should be emailed to fpc@ncmedboard.org.
8. Continuing Medical Education. If you graduated from a PA program more than two years ago, you must submit documentation of at least 100 hours of CME earned in the last two years. If you have just graduated or it has been less than two years since you date of graduation, you are not required to submit any CME. It is preferred that you use the NCCPA CME summary log printed from their website bearing your name. If you are currently certified by NCCPA, you will be deemed in compliance with the requirement of PA Rule 21 NCAC 32S.0216 and will not be required to submit your CME.
9. The NC Medical Board staff will request the NPDB/HIPDB reports on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
Registration: North Carolina Law requires licensed physician assistants to register with the Board within 30 days of their birth date every year no matter when the license is issued. A registration fee is required.
Beginning July 1, 2006, all perfusionists in North Carolina must obtain licensure in order to practice perfusion. There are three pathways by which a person may obtain his or her perfusion license. They are: Regular Pathway, Reciprocity Pathway, or Provisional Pathway.
Regular Pathway: This pathway is for applicants who have graduated from an approved educational program, have a current certification as a clinical perfusionist, and who do not wish, or may not be qualified, to obtain a license by one of the other pathways.
Reciprocity Pathway: This pathway is available for applicants who are licensed, in good standing, as a perfusionist in another state or United States Territory, and who can satisfy one of the following two criteria:
1) The state or territory in which he or she is licensed has laws regulating perfusion that are substantially equivalent to the laws of North Carolina*; or
2) The applicant has current certification as a clinical perfusionist. * In the event the applicant seeks reciprocity by electing this criteria, the Perfusionist Advisory Committee of the North Carolina Medical Board (PAC) will obtain the laws of the other state and make a determination as to whether such laws are substantially equivalent to those of North Carolina.
Provisional Pathway: This pathway is for applicants who do not have certification as a clinical perfusionist but do satisfy the educational requirements for perfusion licensure, and who do not qualify for licensure under the Reciprocity Pathway. A provisional license applicant must be supervised by a licensed perfusionist, and the provisional license may not exceed a period of twelve (12) months. The provisional license applicant must complete a Designation of Supervising Perfusionist Form.
Converting A Provisional License to a Full License
A provisional licensed perfusionist who receives certification from the American Board of Cardiovascular Perfusion (ABCP) may request that his or her provisional license be converted to a full license. The provisional licensee must submit a written request for the conversion and proof of certification from the ABCP, and pay the conversion fee. The Perfusionist Advisory Committee may request additional information or conduct an interview of the applicant to determine the applicant’s qualifications.
An application for license in North Carolina is a confidential matter therefore we are unable to respond to any questions regarding your application from anyone other than you, the applicant. The licensing department may be contacted by e-mail at license@ncmedboard.org.
1. Completed application form (applies to all pathways)
2. Verification of Education (not required if applying under Reciprocity Pathway) Verification of education using the Education Certification Form. This certification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.
3. ABCP Certification (applies to Regular pathway and Reciprocity pathway) Primary source verification of current certification from the American Board of Cardiovascular Perfusion (ABCP). (This verification is not required if applying under the Provisional Pathway. This verification may also be required under the Reciprocity Pathway—See Licensing Overview for further details) You may request verification by phone, fax, e-mail, or letter. An authorization for release of information is not necessary. They will respond directly to the Board. Original certification is required. Fax number: 601-582-2271 E-mail address: abcp@abcp.org Mailing address: ABCP, 207 North 25th Avenue, Hattiesburg, MS 39401
4. Verification of Other State License (applies to all pathways) Using the License Biography Form you must secure a report from each state in which you have ever been licensed as a perfusionist, regarding the status of that license. All licenses, active and/or inactive, must be verified. Most states charge a fee for this service.
IMPORTANT: Effective January 1, 2012, applicants for a NC resident training license must have passed USMLE Steps 1 & 2 OR COMLEX 1 & 2 within three attempts per step (e.g., applicants must pass each step of the exam in question within three attempts.)
A resident training license (RTL) may be issued to a physician who is to participate in a recognized, fully accredited graduate medical program or approved fellowship. Note: Residents who are granted a training license are NOT assigned a license number. Their information page will simply indicate “RTL.”
Below is a summary of the rules of Chapter 32, Section 500 of the North Carolina Administrative Code. These are the conditions, which might allow licensure. However the Board reserves the right to make whatever additional demands on the applicant the Board deems appropriate.
1. Complete on line Resident Training License application.
2. Verification of Medical Education- You must submit one of the verification of medical education forms below to your medical school for processing. Your medical school should return the form to your GME office.
Verification of Medical Education Form A. This form should be completed by students who have completed the requirements for the MD or DO degree but have not yet received the medical degree.
Verification of Medical Education Form B. This form should be completed by physicians who have graduated and received their medical degree.
3. Two current reference forms. The forms must be completed by physicians who have observed your clinical practice.
4. Letter addressed to the North Carolina Medical Board from the chief of service or the appointed representative in the department in which you will be entering training verifying the appointment. The letter must state the beginning date of the appointment. A copy of your contract will not be accepted.
5. ECFMG: Graduates of Foreign Medical Schools must furnish an original ECFMG Certification Status Report of a currently valid standard certificate of ECFMG. Fifth Pathway: Graduates of a foreign medical school, who have completed a Fifth Pathway Program, must furnish verification of passing the ECFMG examination together with verification of completing of a Fifth Pathway Program.
6. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check.
Note: Some applicants may be required to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. This will not be determined until you application is complete and has been reviewed by Board staff. You will be notified through your House Staff Office if additional information is required.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
Two seperate fees are required for the license application process and the renewal process. The application fee helps cover the cost of processing the physician’s application. The Board is also responsible for regulating those who have received a license to make sure they are safe to practice medicine. To perform that duty, the Board requires a seperate “renewal” fee each year.
Effective October 1, 2011, International Medical School (IMG) graduates will be required to apply for a full license using FCVS. Canadian graduates are not considered IMG’s.
Below is a list of eligibility requirements for obtaining a license not using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Note: If you have a completed profile with the Federation’s Credential Verification Service (FCVS), DO NOT complete this application. You will then need to complete the License by Endorsement Application using FCVS. If you are unsure whether you have a profile, you should contact FCVS
FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity.
Submit all materials to:
NC Medical Board
PO Box 20007, Raleigh, NC 27619 or;
1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Eligibility Requirements
If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:
1. Satisfactorily completed at least one year of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
2. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE or COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
3. Have completed a minimum of 130 weeks of medical school.
4. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
If you are a graduate of a medical school other than those approved by LCME, COCA or CACMS, you must have the following:
1. Current valid certification of the ECFMG or completed an approved Fifth Pathway Program.
2. Satisfactorily completed three years of graduate medical education approved by ACGME, CFPC, RCPSC or AOA.
3. Passed a state board licensing examination; NBME; USMLE; FLEX, COMLEX, NBOME, MCCQE or their successors.
Each step of the USMLE and COMLEX must be passed within three attempts. However, the Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCFP, FRCP, FRCS or AOA approved specialty board within the past 10 years.
4. Have completed a minimum of 130 weeks of medical school.
5. Submit proof of one of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category.
Reentry
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. You should review the information on the Board’s website regarding reentry (link to info)
YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.
This outlines the appropriate requirements for obtaining a license using FCVS. The Board reserves the right to make whatever additional demands on the applicant for licensure the Board deems appropriate at the time. Below is a summary of what is listed in the rules of Chapter 32 of the North Carolina Administrative Code.
Submit all materials to:
North Carolina Medical Board, PO Box 20007, Raleigh, NC 27619 (919.326.1100), or
North Carolina Medical Board, 1203 Front Street, Raleigh, NC 27609 (Use this address for express/overnight deliveries)
Please do not submit photocopies or facsimilies unless specifically permitted.
1. Request your FCVS profile be forwarded to the NC Medical Board
2. Complete the online application. The online application will need to be completed and payment will need to be submitted by Visa/Mastercard within 30 days to avoid having your application deleted. During the online application, you will be required to provide your chronological history from highschool to the present. If you have problems downloading any forms while completing the online application, you may print them by clicking on download form in the list to the right.
3. Applicants must submit two completed fingerprint cards for the purpose of conducting a criminal background check. When possible, have different officials complete each card. It is recommended you have your local law enforcement office complete the fingerprinting. An application is not considered complete until results of the background check have been received. Expect a minimum of eight weeks for the report to be received. Since rejections are common, the SBI has suggested that applicants use lotion or witch hazel on their hands before being fingerprinted. Fingerprint cards are submitted for processing twice a week. The SBI has suggested that using live scan when available may be a more reliable choice. When using live scan, prints must be printed on fingerprint cards and be submitted to the NC Medical Board. They cannot be submitted electronically. See detailed instructions for completing cards. E-mail fpc@ncmedboard.org to request a set of fingerprint cards. A set contains two fingerprint cards.
4. Examination scores will be provided by FCVS. The following examinations are accepted by the Board.
5. You must secure a report from each state, US territory, or Canadian province regarding status of licensure. All licenses, active and/or inactive, must be verified. Training licenses do not need to be verified. Most licensing agencies charge a fee for this service. The verification should be forwarded directly to the NC Medical Board from the verifying state. The NC Medical Board accepts license verifications through the VeriDoc service.
6. Two recommendations must be from physicians using the Physician Reference Forms. Recommendations cannot be from a relative. These forms must be sent from the reference source directly to the NC Medical Board.
7. ECFMG: Graduates of International Medical Schools must have a current ECFMG. Verification of your ECFMG profile is provided in your FCVS profile.
Fifth Pathway: Graduates of a fifth pathway program who took a licensing examination other than the USMLE will need to contact contact ECFMG and have your examination history chart forwarded directly to the NC Medical Board.
8. Postgraduate Training verification will be provided in your FCVS profile.
**If you have left a training program prior to completion, please provide a detailed explanation regarding the circumstances of your departure.**
9. If certified or recertified by an American Medical Specialty Board or American Osteopathic Board, send a photocopy of your certificate with your application.
10. You must submit proof of the following qualifications within the past 10 years:
If you have not met one of the seven qualifications above, you must submit CME documentation of 150 hours of practice relevant CME obtained in the past three (3) years. At least 60 hours shall be in the educational provider-initiated category. The remaining hours, if any, shall be in the physician-initiated category. You will need to submit certificates of completion for all CME hours obtained for Category 1. The NCMB CME log can be used for documenting CME hours for Category 2.
11. The NC Medical Board staff will request the following documentation on behalf of the applicant. If staff is unable to obtain this information, the applicant’s online status will be updated to reflect this and the applicant will be expected to have this information forwarded to the NC Medical Board.
AMA physician profile.
AOA physician profile (if applicable).
NPDB/HIPDB report.
If a physician has been away from clinical practice two years or longer, they may be required to develop a reentry plan as part of the license application. It is the responsibility of the applicant to be prepared to present a program of re-training or supervision that will establish proof of competency in their chosen area of medicine. Applicants in this category will be required to appear for a license interview.
RENEWAL - North Carolina law requires licensed physicians to renew with the Board within 30 days of their birth date, every year, no matter when the license is issued. A renewal fee is required.