Learn Georgia collaborating physician requirements and nurse protocol agreement compliance rules in 2026. Covers the 50-mile rule, 4-APRN cap, quarterly chart review, and Schedule II restrictions.

Prescribing controlled substances in Georgia requires adherence to protocols established in collaboration with a supervising physician, as mandated by the Georgia Composite Medical Board.

O.C.G.A. § 43-34-25(m)(2)(B) is unapplicable as all protocols are agreements between one individual APRN and one individual delegating physician; there are no APRN protocol agreements held by a medical practice.

Clear, state-specific answers on collaboration rules, prescribing authority, chart-review expectations, and collaboration documentation requirements for Nurse Practitioners and Physician Assistants in Georgia.

Both delegating and designated physicians in Georgia must have an active state license and practice within the state or within 50 miles of where the patient is located when receiving services.

These requirements vary widely by state and are shaped by scope-of-practice laws, medical and nursing board rules, and workforce access considerations. Some states require ongoing collaboration or supervision, while others allow full independent practice with no physician involvement.

A back-up physician is not required, but if one is used they must practice medicine in Georgia, have the same scope of practice as the collaborating physician, and agree in writing to the terms of the agreement and to provide consultation in the physician’s absence.

Below are the most frequently asked questions about Georgia collaborative agreements, organized by topic to help you navigate the requirements, physician responsibilities, and NP scope of practice.

However, it is your responsibility to review the state code. Below is where the information was obtained: The information provided is based on the Georgia Code § 43‑34‑25, & Georgia Comp. R. & Regs. 360‑32. Reference Link: https://medicalboard.georgia.gov/

If a designated physician is available according to an approved protocol agreement, he or she may serve as the delegating physician for up to 60 days (from the date of death or departure) until a new protocol agreement is approved by the Board.