Skip to Content
Link text
TennCare Provider Registration Portal
Title
Notes
Processing...
Search Details
Type
Error Handling
Provider Contact
Registration Rejection
Termination
Miscellaneous
Note on Approved
Internal
Screening
Delete Service Location
*
Date
User
Details
*
Title
Title
Email Notifications
Processing...
Date Sent
NPI
To
Subject
*
Title
Title
TennCare Home
Home
CAQH ProView
EFT Enrollment Instructions
Contact Us
Provider Person Registration
Provider Group Registration
Create Account
Log In
Click
Adobe Reader
to download the latest version for free.
Enter Provider Info
Create User ID & Password
Confirmation
Get started by filling out the form below
Are you an existing TennCare provider?
Yes
No
*
*
*
*
*
*
Category*
Individual Provider (Medical Services Only)
Group
Entity/Facility
Non-Medical Service Providers
*
*
Type*
*
Tax ID*
*
*
*
Organization Name*
*
*
*
*
Processing...
Title
Are you sure you want to cancel? Your information/changes will not be saved. Click YES to confirm.