Requirements

The state of North Carolina requires all anesthesiology assistants (AAs) to be licensed.

AAs must renew their professional licenses annually, within 30 days of their birthday.
Applicants must register for a Licensure Gateway account to submit an online application.

Please adhere to the following guidelines:

Provide DETAILED explanations for affirmative answers in the application along with all related documentation.
Include name change documentation, if applicable.
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. NCMB accepts license verification through the veridoc service.

If you have ever been licensed in Connecticut, you must send the consent for release of confidential disciplinary records form, along with the NC licensure verification form to the Connecticut Department of Public Health. If you have never been licensed in Connecticut, disregard the form.

Verification of certification from the National Commission for the Certification of Anesthesiologist Assistants (NCCAA). Verification must be sent directly from the Commission.

Process

Our process involves the collection of credentials from you the applicant, and from other sources as well. Once all application materials have been collected, our staff must review them.

After reviews have been done, it may be necessary for the staff to request additional information, corrections, or clarifications. It is our goal to review materials as quickly as possible, but we must be thorough. You must have successfully completed the NCCAA examination to qualify for licensure. Please adhere to the following guidelines:

1. Applications are good for one year. After one year, applications will expire, and you will need to reapply.

2. Processing time may take longer during the months of March through August, due to the increased number of applications received at the North Carolina Medical Board.

3. Without an anesthesiologist assistant license and a primary supervising anesthesiologist, you cannot practice as an anesthesiologist assistant in North Carolina. Do not make practice commitments prematurely.

4. If you have been named in any malpractice suits or have answered “yes” to any of the questions on our application, please include detailed information and all related documentation.

5. State law will only allow us to speak to the applicant about the application. Third parties cannot be informed about the status of your application.

6. Check your gateway homepage for application status, information regarding deficiencies and additional information requests.

Questions regarding your application can be e-mailed to .(JavaScript must be enabled to view this email address)

Fees

A fee of $190.50 U.S. dollars is to be paid at the time the application is submitted. ($150.00 for the license application fee, $38.00 for the criminal background check fee, and $2.50 for the NPDB report fee).

Web Links

Requirements

Please visit the Board of Pharmacy Web site to access the online application for clinical pharmacist practitioners.

Requirements

IMPORTANT: NCMB now provides two different pathways for individuals who wish to create or manage a NC-based Professional Corporation or Professional Limited Liability Company (PLLC).

If you are a licensee (physician or PA) of the North Carolina Medical Board, please establish your entity of choice by clicking on the Licensee Portal button at right.

If you are a non-licensee, please use the Non-licensee Portal button at right.

If your medical practice is registered as a professional corporation or professional limited liability company in another state, you must meet certain criteria set forth in North Carolina state laws and rules and register with the N.C. Medical Board and the N.C. Secretary of State’s office in order to practice in North Carolina.

It is important that you familiarize yourself with the NC Laws (Medical Practice Act and Professional Corporation Act) and Rules (Corporations) prior to applying to the Medical Board for registration and certification as a Foreign Professional Corporation or Professional LLC for the practice of medicine in North Carolina. For your convenience we also provide a Handbook for Managing Professional Corporations, Professional Associations and Professional Limited Liability Companies and Frequently Asked Questions.

Additional information and forms concerning Professional Corporations and PLLCs are available on the Secretary of State’s website, or you may call (919) 814-5400 | toll-free at (888) 246-7636.

To apply for certification and registration complete the online portion of the application, available at right, and pay the non-refundable $50.00 application fee by VISA, MasterCard, Discover or American Express. Email all required forms outlined below to corp.application@ncmedboard.org.

Foreign Professional Corporation Required Forms
1. Certificate of Existence (or document of similar import), duly authenticated by the Secretary of State or other official having custody of corporate records in the state of incorporation.
2. Notarized Application for Certificate of Authority for a Professional Corporation. The form is available from the NC Secretary of State.
3. Notarized NCMB FOREIGN PC-01 form (available at right)

Foreign Professional Limited Liability Company Required Forms
1. Certificate of Existence (or document of similar import), duly authenticated by the Secretary of state or other official having custody of limited liability company records in the state of organization
2. Notarized Application for Certificate of Authority, for a Professional Limited Liability Company. The form is available from the NC Secretary of State.
3. Notarized NCMB FOREIGN PLLC-01 form available at right on this webpage.

Once documents are reviewed by NCMB and it has been determined that all statutory requirements are met, (see the Process Tab) NCMB will email a scanned copy of (1) the Application for Certificate of Authority, (2) NCMB issued Certificate (NCMB PC-02 or NCMB PLLC-02) and (3) the Certificate of Existence/Good Standing from the state of origination for filing with the NC Secretary of State. All other documents generated during the approval process will also be emailed to you as scanned documents for you to retain for your records.

Creation Filing with the NC Secretary of State (“SOS”) requires the Articles with the NCMB dated/stamped seal, the Board issued Certificate, the Certificate of Good Standing from the state of origination and the required SOS fee. Filing with the SOS must be completed within four months of the NCMB Certificate issued date. NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.

To Complete Creation Filing with the NC Secretary of State, you have two options:

1. Print out the hardcopy of the scanned Corporation Documents for NC Secretary of State. These three documents are the stamped/approved (1) Application for Certificate of Authority, (2) NCMB issued Certificate (NCMB PC-02 or NCMB PLLC-02) and (3) the Certificate of Existence/Good Standing from the state of origination for filing with the NC Secretary of State. These three documents, along with the required fee will then need be mailed to the NC Secretary of State.

2. File the attached stamped/approved Corporation Documents for NC Secretary of State with the NC Secretary of State using the NC SOS website: Online Submission of Documents.

Unfiled Certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.

Process

All application packets must be initiated and paid for online before submitting documents to the Board for approval. Upon receipt, application packets are reviewed to ensure that statutory requirements are being met. The following are examples of what the Board looks for during the application review.

Corporate/LLC Name: The name shall not include any adjectives or other words not in accordance with ethical customs of the medical profession. It may not be identical or so similar in name to an existing registered business entity as to be misleading.

No d.b.a. A Professional Corporation/PLLC may not use any name other than the corporate name registered with the NCMB and the Secretary of State. NCMB rules prohibit using a “d.b.a.”(doing business as) name.

Name Ending: Corporations registering with NCMB are to use Professional Corporation, Professional Association, P.C., P.A., PC or PA as their corporate ending. Do not use the following endings: corporation, company, limited, incorporated, corp., co., ltd. or inc
.
Name Ending: Professional Limited Liability Companies The name shall contain the word “professional” or the abbreviation “P.L.L.C” or “PLLC.”

Foreign Shareholder/Member Requirements: Shareholders and members must be in good standing with relevant licensing boards. “In good standing” means has not been disciplined by a licensing Board and is not currently subject to disciplinary proceedings.
(1) At least one shareholder must be currently licensed and in good standing with this Board
(2) At least one director and one officer must be currently licensed and in good standing with this Board
(3) No person other than a licensee of the Board shall exercise any authority or influence over the practice of medicine in North Carolina.
(4) All shareholders/members not licensed in North Carolina must hold a license in good standing, in their state of practice.

The professional services to be rendered:

• Physicians qualify to apply for a Certificate of Registration as a professional corporation with the purpose of practicing medicine;
• Together a physician and a physician assistant qualify to apply for a Certificate of Registration as a professional corporation with the purpose of practicing medicine;
• If the business entity is registering for additional professional services with other NC Boards, the purpose is reviewed to ensure respective stockholders/members are licensed, certified or otherwise approved to provide the services outlined in the purpose. See the FAQ section for allowable combinations

Fees

Application
Certificate of Registration for a professional corporation to practice medicine in North Carolina
Non-Refundable Fee: $50.00

Registration Renewal
Renewal of Certificate of Registration as a Professional Corporation or PLLC
Fee: $25.00.
Late fee: $10.00
Paid by MasterCard, Visa, Discover or American Express using online Renewal

If your corporation was suspended by NCMB and you wish to seek reinstatement. Please email NCMB Corporations Coordinator or call 919-326-1109 extension 231
Email: NCMB Corporations Coordinator
Phone: 919-326-1109 (ext 231) | 1-800-253-9653 (ext 231)

Mailing address
North Carolina Medical Board
Attn: Corporations
P.O. Box 20007
Raleigh, NC 27619-0007

Delivery address:
North Carolina Medical Board
Attn: Corporations
1203 Front Street
Raleigh, NC 27609
Questions? Email the Corporations Department

Requirements

Before you begin the application process, click to review the application checklist.

There are three pathways by which a person may obtain his or her perfusion license.

Licensed Perfusionist 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 Licensed Perfusionist 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.

Requirements
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 online application (applies to all pathways). Provide DEATILED explanations for affirmative answers including EACH malpractice suit or settlement. UPLOAD A COPY OF PLAINTIFF’S COMPLAINTS AND SETTLEMENT ORDERS FOR EACH INCIDENT.

2. Applicant’s Oath and Photo - At the end of the application, complete the attestation and applicant’s oath. A photo will be required to complete the application.

3. Verification of Perfusionist Education Form (not required if applying under Reciprocity Pathway). This verification must bear the original signature of the Dean or other Official of the program; their official title and the seal of the program/school.

4. ABCP Certification (applies to Licensed Perfusionist pathway and may also be required under 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.) 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

5. Criminal Background Check (Applies to all pathways. See [Licensing Overview] for further details). 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.

6. References (applies to all pathways) Two current reference forms. These forms must be sent from the reference sources directly to the North Carolina Medical Board.

Process

The license application process involves the collection of credentials from you the applicant, and from other sources as well. Once all application materials have been collected, our staff must review them. After reviews have been done, it may be necessary for the staff to request additional information and need corrections or clarifications. Please adhere to the following guidelines:

1. Beginning July 1, 2006, you may not practice as a perfusionist in North Carolina without a license.

2. There are some items that must be sent from the primary source. Credentials received prior to receiving your application will be held in our office for one year.

3. If you have been named in any malpractice suits, or have answered, “yes” to any of the questions on our application, anticipate the possibility that additional information will be requested and an interview may be required.

4. All application information is strictly confidential pursuant to state law. Therefore, we may only speak to the applicant about the application. Relatives, staff members, future employers or placement services cannot be informed about the status of your application.

5. Any deficiencies in your application after review will be noted on your Licensure Gateway homepage.

6. Questions regarding your application can be e-mailed to license@ncmedboard.org.

Fees

Fee (applies to Licensed Perfusionist and Reciprocity pathways). A fee of $390.50 U.S. dollars is to be paid at the time the application is submitted. ($350.00 for the license application fee, $2.50 for NPDB report, and $38.00 for the criminal background check fee).

If you request a Provisional license, a fee of $215.50 is required. ($175.00 for the provisional license application fee, $2.50 for NPDB report, and $38.00 for the criminal background check fee).

If you request an upgrade of your Provisional license to a Licensed Perfusionist, a fee of $175.00 is required.

Requirements

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:

Held a NC medical license and it has been inactive for more than six months; or
Never held a NC medical license, but wish to obtain a retired volunteer license

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.

Process

The licensing process involves the collection of credentials from the applicant and from other sources. Once all materials are submitted, the Board’s staff will review them. It may be necessary for the staff to request additional information, and/or return any times that may need corrections or clarifications. Our goal is to review materials as quickly as possible, but we must be thorough. Processing time will take longer during the months of March through August due to the increased number of residents and relocating physicians applying.

Fees

There is no application fee for a retired volunteer license. However, you will need to pay for the criminal background check which is a $38 fee.

Requirements

FCVS provides a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. This repository of information allows a physician to establish a confidential, lifetime professional portfolio 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.

Establishing an FCVS profile takes time. Applicants are encouraged to complete their FCVS application six months before they need their FCVS profile submitted to the state medical board for licensure Learn more about FCVS.

The NCMB only accepts applications submitted online through the Board’s website. To begin the process, click on the green “Online Application” button on the right.

Eligibility requirements
The following outlines what is required to obtain a full medical license. Please read carefully. Failure to submit important information may delay the application process. Learn more about licensing: Rules and statutes.

If you are a graduate from a medical or osteopathic school approved by the LCME, CACMS or COCA, you must have the following:

1. Satisfactory 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. The NC Medical Board does not accept the Puerto Rico state board written examination.

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 speciality board within the past 10 years.

3. Have completed a minimum of 130 weeks of medical school. The Board shall waive this requirement if the applicant has been certified or recertified by an ABMS, CCRP, FRCP, FRCS or AOA approved speciality board within the past 10 years.

4. Submit proof of one of the following qualifications within the past 10 years:

USMLE examination.
MCCQE examination.
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75.
COMVEX examination, the Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS), 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 graduate medical education approved by ACGME, AOA, CFPC or RCPSC.

If you have not met one of the seven qualifications above, you must submit documentation of 60 hours of practice relevant CME obtained in the past three (3) years. The 60 hours shall be educational provider-initiated.

If you are a graduate of a medical school not 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. The NC Medical Board does not accept the Puerto Rico state board written examination.

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. The Board shall waive this requirement if the applicant has been certified or recertifed by an ABMS, CCFP, FRCP, FRCS, or AOA approved specialty board within the past 10 years.

5. Submit proof of one of the following qualifications within the past 10 years:

USMLE examination.
MCCQE examination.
National Osteopathic Board of Medical Examiners Examination or COMLEX.
SPEX examination with a score of at least 75.
COMVEX examination, the Osteopathic examination equivalent to SPEX.
Certification or recertification of CAQ by a specialty board recognized by the American Board of Medical Specialties (ABMS), 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 graduate medical education approved by ACGME, AOA, CFPC or RCPSC.

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.

YOU WILL NEED TO COMPLETE AND SUBMIT ADDITIONAL DOCUMENTATION AS REQUIRED IN THE ONLINE APPLICATION.

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 fee.
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.

Process

The licensing process involves the collection of credentials from the applicant and from other sources. Once all materials are submitted, the Board’s staff will review them. It may be necessary for the staff to request additional information, and/or return any times that may need corrections or clarifications. Our goal is to review materials as quickly as possible, but we must be thorough. You should not expect the entire process to take less than four months from the time your application is received by the NCMB. Processing does not begin until all application fees have been paid online.

Please note and adhere to the following guidelines:
1. Processing time will take longer during the months of March through August, due to the increased number of residents and relocating physicians. We recommend you allow four to six months of total processing time if you wish to obtain a license during these months.

2. You should submit your fingerprint cards and authority to release form as soon as possible so that a background check request can be made. Your fingerprint cards cannot be forwarded to the SBI until payment has been made online. Once we receive payment, you will not be able to return to your application to make corrections. Credentials received prior to the completion of your application will be held in our office for one year.

3. If you have been named in any malpractice suits or have answered “yes” to any question on your application, anticipate the possibility that additional information and an interview may be required.

4. It is recommended that you not make practice commitments prematurely.

5. Without a medical license, you cannot practice as a physician in North Carolina. Do not make commitments on loans, practice start dates, home purchases, etc., until you have been granted a license to practice medicine in North Carolina.

6. State law only allows staff to speak to the applicant about the application. Relatives, staff members, future employers or placement services can not be informed about the status of your application.

7. If you wish to exit the application at any time, please do so by clicking on the ‘Logout’ button at the bottom of the page. This will save all the date that you have entered.

8. You can check the status of your application by clicking on the ‘Check Status’ link. Once you have submitted your application, it will take up to 15 days before the information on your status is up to date. You will need to know your File ID number and your date of birth to access this information. Your File ID number will be given to you once you start the application.

Note: State law will only allow us to speak with the applicant regarding the application. However, you may give your login information for checking the status online to whomever you choose.

The NC Medical Board will be unable to return original or photocopies of applications materials once received.

Fees

Fees must be paid at the time the online application is submitted. ($400.00 for the license application fee, $38.00 for the criminal background check fee and $2.50 for the NPDB/HIPDB report). Fees must be paid by VISA, Mastercard, American Express or Discover at the end of the online application. Fees paid are not refundable.

Requirements

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 60 hours of practice-relevant CME obtained in the past three years. The 60 hours shall be educational provider-initiated. An interview may be required.

Process

Our process involves the collection of credentials from you the applicant, and from other sources as well. Once all application materials have been collected, our staff must review them. After reviews have been done, it may be necessary for the staff to request additional information, and/or to return items that need corrections or clarifications. It is our goal to review materials as quickly as possible, but we must be thorough. You should not expect the entire process to take less than four months.

Fees

The fee for reinstating a full, unrestricted license from a retired volunteer license is $438.00 and includes a $38.00 fee for criminal history record check.

Requirements

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.

Process

The licensing process involves the collection of credentials from the applicant and from other sources. Once all materials are submitted, the Board’s staff will review them. It may be necessary for the staff to request additional information, and/or return any documents that may need corrections or clarifications. Our goal is to review materials as quickly as possible, but we must be thorough. Processing time will take longer during the months of March through August due to the increased number of residents and relocating physicians applying.

Fees

There is no application fee for the limited volunteer license. However, you will need to pay the criminal background check fee which is $38.00. A renewal fee will not be required, however, you will be required to complete the online renewal process within 30 days of your birthday every year.

Online Application

Requirements

All polysomnographic technologists must register with the Board annually on or before September 1st. It is unlawful for an unregistered sleep tech to practice polysomnography, represent themselves as someone credentialed to practice polysomnography or use the title “Registered Polysomnographic Technologist.”

To register, a polysomnographic technologist must provide:

Their full legal name
Their complete address and current telephone number
Evidence that they are currently credentialed in good standing by the Board of Registered Polysomnographic Technologists
The date of most recent credentialing by the Board of Registered Polysomnographic Technologists and the certificate number.
A $50 registration fee, to be paid with a major credit card

Click Online Application button to register. You will be prompted to sign up for a Licensure Gateway account if you do not already have one.

For more information, see the Board’s Polysomnographic Technologist FAQs. You will need to scroll to the bottom of the page.

CME

N/A. Polysomnographic Technologists must maintain credentials with the Board of Registered Polysomnographic Technologists.

Requirements

IMPORTANT: NCMB now provides two different pathways for individuals who wish to create or manage a NC-based Professional Corporation or Professional Association.

If you are a licensee (physician or PA) of the North Carolina Medical Board, please establish your entity of choice by clicking on the Licensee Portal button at right.

If you are a non-licensee, please use the Non-licensee Portal button at right.

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 Handbook for Managing Professional Corporations, Professional Associations and Professional Limited Liability 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) 814-5400 | toll-free at (888) 246-7636.

Application Instructions:

A list of required documents to gather, complete and email to NCMB is outlined in our Online Application.
Complete the online portion of the application, available at right, pay the $50.00 application fee by VISA, MasterCard or Discover, or American Express.
Email the scanned application documents to: corp.application@ncmedboard.org

Once documents are reviewed at the Board and it has been determined that all statutory requirements are met, (see the Process Tab) the NCMB will email a scanned copy of the Articles to you along with a NCMB issued Certificate (NCMB PC-02) for filing with the NC Secretary of State. All other documents generated during the approval process will also be emailed to you as scanned documents for you to retain for your records.

Creation Filing with the NC Secretary of State (“SOS”) requires the Articles with the NCMB dated/stamped seal, 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. NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.

To complete Creation Filing with the NC Secretary of State, you have two options:

1. Print out the hardcopy of the scanned Corporation Documents for NC Secretary of State. These two documents are the stamped/approved Articles of Organization and the Certification by the North Carolina Medical Board, with the signature of the Executive Director and seal of the Board. These two documents, along with the required fee will then need be mailed to the NC Secretary of State.

2. File the attached stamped/approved Corporation Documents for NC Secretary of State with the NC Secretary of State using the NC SOS website Online Submission of Documents link.

Unfiled Certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.

Letter of Non-Objection

NC General Statute 55B prohibits any non-licensees of the NC Medical Board from forming an entity offering the professional service of the practice of medicine.

Many business entities try to file creation articles with the NC Secretary of State and the filing is rejected due to a word or words in the name of the business entity which implies the corporation/company is a medical practice.

If your business has received a rejection letter from the NC Secretary of State for this reason, you will need to request a Letter of Non-Objection from the NC Medical Board. Please be advised that requests for Letters of Non-Objection are occasionally denied by the NC Medical Board Legal Department.

To request a Letter of Non-Objection, please submit a letter on corporate letterhead that includes the following:

State the purpose of the business in the state of NC, i.e., what will the business be doing in NC?
State that the business will not be offering the professional service of the practice of medicine.
State that the business will not be employing any licensees of the NC Medical Board for the purpose of offering the professional service of the practice of medicine.

The request letter should be signed by an office of the corporation.

Please submit the request letter to: corporations@ncmedboard.org

Process

The Medical Board requires that all applicants complete the online application prior to emailing their documents to the Corporations division at corp.application@ncmedboard.org.

Upon receipt, application packets are reviewed to ensure that statutory requirements are met. The following are examples of what the Board looks for during its application review.

The original Articles of Incorporation (Professional Corporation)

Corporate Name: The name shall not include any adjectives or other words not in accordance with ethical customs of the medical profession.

Corporate Name Ending: Corporations registering with NCMB are to use Professional Corporation, Professional Association, P.C., P.A., PC or PA as their corporate ending. Do not use the following endings: corporation, company, limited, incorporated, corp., co., ltd. or inc.

Corporate Name: A professional corporation may not use any name other than the corporate name registered with the NCMB and the Secretary of State. NCMB rules prohibit using a “d.b.a.”(doing business as) name. See NC Administrative Code § 21 NCAC 32C .0102.

Incorporators: At least one incorporator must be a NCMB licensee. One of the incorporating shareholders is required to sign the Articles before submitting them to NCMB.

The specific purpose for which the corporation is being formed:

Physicians qualify to apply for a Certificate of Registration as a professional corporation with the purpose of practicing medicine;
Together a physician and a physician assistant qualify to apply for a Certificate of Registration as a professional corporation with the purpose of practicing medicine;
One hundred percent physician assistant owned corporations qualify to apply for a Certificate of Registration as a professional corporation with the purpose of performing medical acts, tasks and functions. See the FAQ section for more information;
When the corporation is to be registered with other NC Boards, the purpose is reviewed to ensure respective stockholders are licensed, certified or otherwise approved to provide the services outlined in the purpose. See the FAQ section for allowable combinations

The notarized Certificate of Incorporators, NCMB PC-01

Verification of NCMB licensure of shareholders.
Verification of Foreign Corporation shareholder’s licensure. At least one needs to be a NCMB licensee.
Verification of licensure of shareholders from other NC Boards See the FAQ section for more information.

Fees

Application
Certificate of Registration for a professional corporation to practice medicine in North Carolina
Non-refundable fee: $50.00
Paid by VISA, Mastercard, Discover or American Express during online application process

Registration Renewal
Renewal of Certificate of Registration as a professional corporation
Fee: $25.00.
Late fee: $10.00
Paid by MasterCard, Visa, Discover or American Express using online Renewal

If your corporation was suspended and you wish to seek reinstatement. Please contact the .(JavaScript must be enabled to view this email address) or call 919-326-1109 extension 386.

Email: .(JavaScript must be enabled to view this email address)
Phone: 919-326-1109 (x386) | 1-800-253-9653 (x386)

Mailing address
North Carolina Medical Board
Attn: Corporations
P.O. Box 20007
Raleigh, NC 27619-0007

Delivery address:
North Carolina Medical Board
Attn: Corporations
3127 Smoketree Court
Raleigh, NC 27604

Questions? .(JavaScript must be enabled to view this email address)

CME

From time to time, professional corporations have changes that must be reported to the NCMB and/or Secretary of State, such as a corporation name change or stock transfer. Instructions for reporting such changes are listed below.

Instructions for filing documents to issue or transfer stock or membership

All issuance or transfer of stock in a professional corporation requires certification of licensure from the NC Medical Board. Prior to the issuance or transfer of stock you must obtain NCMB certification by submitting the following to NCMB.

Online
• Through NCMB’s Corporation Update portal you will be able to update shareholder information and obtain certification for new qualified shareholders. Online is only available for certification of NCMB Licensees.

Or By email send to NCMB
• A letter, signed by an officer or legal representative of the corporation, stating the name of the corporation and the name of the individual licensed to practice medicine in NC who will be issued or transferred stock.

Upon execution by this Board certification (PC-05 or PLLC-05) will be issued for each newly added licensee. Certification must be permanently retained by the corporation

Name Change Request
To change the name of your professional corporation you must first email scanned copies of the following documents to corp.application@ncmedboard.org:

• A cover letter requesting a name change
• The original Articles of Amendment; The amendment must be signed by an officer of the corporation who is also licensed by NCMB (e.g. a physician or a PA).

After review, NCMB will email you a Letter of Non‐Objection authorizing the name change and the scanned copy of the original Articles of Amendment with the Board’s dated seal. Using the NC SOS website Online Submission of Documents link, you will then file the approved Articles of Amendment and Letter of Non‐Objection with the Secretary of State within four months.

Change of Registered Agent

Please notify the Board if you change the Registered Agent of your business entity by either:

• Submitting the agent change through the NCMB’s Corporation Update portal
• Emailing NCMB a copy of the Articles of Amendment for Agent Change filed with the Secretary of State.

Dissolution of a professional corporation or limited liability company

To remove your business entity from the active roll of professional corporations due to closing, acquisition or etc. you are required to complete and file Articles of Dissolution with the Secretary of State. Send a copy to the NCMB Corporations Coordinator.

Requirements

IMPORTANT: NCMB now provides two different pathways for individuals who wish to create or manage a NC-based Professional Limited Liability Company (PLLC).

If you are a licensee (physician or PA) of the North Carolina Medical Board, please establish your entity of choice by clicking on the Licensee Portal button at right.

If you are a non-licensee, please use the Non-licensee Portal button at right.

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 Handbook for Managing Professional Corporations, Professional Associations and Professional Limited Liability 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) 814-5400 | toll-free at (888) 246-7636.

Application Instructions:

A list of required documents to gather, complete and email to NCMB is outlined in our Online Application.
Complete the online portion of the application, available at right, pay the $50.00 application fee by VISA, MasterCard or Discover.
Email the scanned application documents to: corp.application@ncmedboard.org

Once documents are reviewed by NCMB and it has been determined that all statutory requirements are met (see the Process Tab), NCMB will email a scanned copy of the Articles to you along with a NCMB issued Certificate (NCMB PLLC-02) for filing with the NC Secretary of State. All other documents generated during the approval process will also be emailed to you as scanned documents for you to retain for your records.

The NCMB verifies with the NC SOS that your business has submitted a Creation Filing within four months of certification.

To Complete Creation Filing with the NC Secretary of State, you have two options:

File the attached stamped/approved Corporation Documents for NC Secretary of State with the NC Secretary of State via the NC SOS Online Submission of Documents page.

Unfiled Certificates expire after four months. If certification expires, reapplication will be required before filing with the SOS.

Process

The Medical Board requires that all applicants complete the online application prior to mailing in their documents.

Upon receipt, application packets are reviewed to ensure that statutory requirements are met. The following are examples of what the Board looks for during its application review.

The original Articles of Incorporation (Professional Limited Liability Company)

Corporate Name: The name shall not include any adjectives or other words not in accordance with ethical customs of the medical profession.

Corporate Name Ending: The name shall contain the word “professional” or the abbreviation “P.L.L.C” or “PLLC.”

Corporate Name: A professional limited liability company may not use any name other than the company name registered with the NCMB and the Secretary of State. NCMB rules prohibit using a “d.b.a.”(doing business as) name.

Organizers: At least one organizer must be a NCMB licensee. One of the organizing members is required to sign the Articles before submitting them to NCMB.

The specific purpose for which the PLLC is being formed:

Physicians qualify to apply for a Certificate of Registration as a professional limited liability company with the purpose of practicing medicine;
Together a physician and a physician assistant qualify to apply for a Certificate of Registration as a professional limited liability company with the purpose of practicing medicine;
One hundred percent physician assistant owned corporations qualify to apply for a Certificate of Registration as a professional limited liability company with the purpose of performing medical acts, tasks and functions.
When the corporation is to be registered with other NC Boards, the purpose is reviewed to ensure respective members are licensed, certified or otherwise approved to provide the services outlined in the purpose.

The notarized Certificate of Organizing Members, NCMB PLLC-01

Verification of NCMB licensure of members.
Verification of Foreign Limited Liability Company member’s licensure. At least one needs to be a NCMB licensee.
Verification of licensure of shareholders from other NC Boards.

Fees

Application
Non-refundable fee: $50.00
Paid by VISA, MasterCard, Discover or American Express during completion of online application.

Registration Renewal
Renewal of Certificate of Registration as a professional limited liability company
Fee: $25.00.
Late fee: $10.00
Paid by MasterCard or Visa using online Renewal

If the corporation was suspended and you wish to seek reinstatement contact .(JavaScript must be enabled to view this email address) or call 919-326-1109 (x386)

Email: .(JavaScript must be enabled to view this email address)
Phone: 919-326-1109 (x386) | 1-800-253-9653 (x 386)

Mailing address
North Carolina Medical Board
Attn: Corporations
P.O. Box 20007
Raleigh, NC 27619-0007

Delivery address:
North Carolina Medical Board
Attn: Corporations
3127 Smoketree Court
Raleigh, NC 27604

Questions? .(JavaScript must be enabled to view this email address)

CME

Instructions for filing documents to issue or transfer stock or membership

Online
• Through the NCMB’s Corporation Update portal you will be able to update shareholder information and obtain certification for new qualified shareholders. Online is only available for certification of NCMB Licensees.

Or By mail send to NCMB
• A letter, signed by an officer or legal representative of the corporation, stating the name of the corporation and the name of the individual licensed to practice medicine in NC who will be issued or transferred stock.

Upon execution by this Board certification (PC-05 or PLLC-05) will be issued for each newly added licensee. Certification must be permanently retained by the corporation

Name Change Request
To change the name of your professional corporation you must first submit to NCMB:

• Submit a cover letter requesting a name change and the original Articles of Amendment
The amendment must be signed by an officer of the corporation who is also a licensee of this Board.
• After review, the NCMB will return to you a Letter of Non‐Objection authorizing the name change and the original Articles of Amendment with the Board’s dated seal.
• File the approved Articles of Amendment and Letter of Non‐Objection with the Secretary of State within four months.

Change of Registered Agent

Please notify the Board if you change the Registered Agent of your business entity by either:

• Submitting the agent change through the NCMB’s Corporation Update portal
• Sending NCMB a copy of the Articles of Amendment for Agent Change filed with the Secretary of State.

Dissolution of a professional corporation or limited liability company

Licensing and Registration

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