Current through Register Vol. 39, No. 6, September 16, 2024
(a)
Except as otherwise provided in this Subchapter, an individual shall obtain a
license from the Board before practicing as a physician assistant. An applicant
for a physician assistant license shall:
(1)
submit a completed application, available at www.ncmedboard.org, to the
Board;
(2) meet the requirements
set forth in
G.S.
90-9.3 and has not committed any of the acts
listed in G.S. 90-14;
(3) supply a certified copy of the
applicant's birth certificate if the applicant was born in the United States or
a certified copy of an unexpired U.S. passport. If the applicant does not
possess a certified birth certificate or unexpired U.S. passport, the applicant
shall provide information about the applicant's immigration and work status
that the Board shall use to verify applicant's ability to work lawfully in the
United States;
(4) submit to the
Board an education form that the applicant completed a Physician Assistant
Educational Program. He or she shall also show proof of achieving a passing
score of completion of the Physician Assistant National Certifying
Examination;
(5) pay to the Board a
non-refundable fee of two hundred thirty dollars ($230.00) plus the cost of a
criminal background check. There is no fee to apply for a physician assistant
limited volunteer license;
(6)
submit National Practitioner Data Bank (NPDB) and Healthcare Integrity and
Protection Data Bank (HIPDB) reports. These reports shall be requested by the
applicant and submitted to the Board within 60 days of the request;
(7) submit a Board Action Data Bank Inquiry
report from the Federation of State Medical Boards (FSMB). This report shall be
requested by the applicant and submitted to the Board within 60 days of the
request;
(8) submit to the Board,
at P. O. Box 20007, Raleigh, NC 27619, two complete original fingerprint record
cards, on fingerprint record cards supplied by the Board upon
request;
(9) submit to the Board,
at P. O. Box 20007, Raleigh, NC 27619 or license@ncmedboard.org, a signed
consent form allowing a search of local, state, and national files to disclose
any criminal record;
(10) disclose
whether he or she has ever been suspended from, placed on academic probation,
expelled, or required to resign from any school, including a PA educational
program;
(11) attest that he or she
has no license, certificate, or registration as a physician assistant currently
under discipline, revocation, suspension, probation, or any other action
resulting from a health care licensing board;
(12) certify that he or she is mentally and
physically able to practice as a physician assistant;
(13) provide the Board with two original
recommendation forms dated within six months of the application, at P. O. Box
20007, Raleigh, NC 27619, These recommendations shall come from persons under
whom the applicant has worked or trained who are familiar with the applicant's
academic competence, clinical skills, and character. At least one reference
form shall be from a physician and the other reference form must be from a
physician assistant peer under whom the applicant has worked or trained.
References shall not be from any family member or, in the case of applicants
who have not been licensed anywhere, references shall not be from fellow
students of the applicant's Physician Assistant Educational Program;
(14) if two years or more have passed since
graduation from a Physician Assistant Educational Program, document that he or
she has completed at least 100 hours of continuing medical education (CME)
during the preceding two years, at least 50 hours of which must be recognized
by the National Commission on Certification of Physician Assistants as Category
I CME. An applicant who is currently certified with the NCCPA shall be deemed
in compliance with this Subparagraph; and
(b) In the event any of the information
required by Paragraph (a) of this Rule indicates a concern about the
applicant's qualifications, the applicant shall supply any other information
the Board deems necessary to evaluate the applicant's qualifications, including
explanation or documentation of the information required in this Rule. In
addition, an applicant may be required to appear in person for an interview
with the Board, if the Board determines that more information is needed to
evaluate the application.
Authority
G.S.
90-9.3;
90-11;
90-13.2;
90-14(a);
90-18(c)(13);
90-18.1;
Eff.
September 1, 2009;
Amended Eff. January 1, 2016; May 1, 2015; March
1, 2011;
Pursuant to
G.S.
150B-21.3A rule is necessary without
substantive public interest Eff. March 1, 2016;
Amended Eff. April
1, 2019.
