Georgia - Nurse Aide Program

Upcoming System Update – October 2025
Starting in October 2025, all nurse aide training programs and staff development facilities will be required to create a username and password to upload documents, access letters, reports, and email messages. This change is part of our ongoing efforts to enhance security and streamline access to program and staff development resources.

More information will be sent via email to guide programs/facilities through the process of creating an OKTA account, which will be used to access these materials.

Nurse Aides and Certified Medication Aides: Starting in November 2025, the GA registry will NO LONGER mail certification cards, renewal forms or any other registry forms. All forms must be obtained from the web portal to mail to the registry or submitted online with all the required documents. Verification of Certification can be printed from the web portal.

Thank you for your attention and cooperation.

Instructions

Please review instructions link before completing the on-line form.

Submission ID :

Submission Date :

Role :

Nurse Aide

Nurse Aide Training Program

Select a Form :

Print Blank PDF Form & Instructions

Email :

Re-enter Email :

Invalid match

Nurse Aide Information
CNA Last Name :	Required	CNA First Name :	Required	Middle Initial :
CNA Address 1 :	Required	CNA Address 2 :
CNA City / State / Zip :	Required Required 5 digits is required	CNA County :	County
CNA Phone :	Phone 10 digits is required
CNA SSN #:	SSN 9 digits is required	CNA Date of Birth :	Date of Birth Invalid Range
Certification Number :	Required Please enter numeric values only	Certification Date :

Mailing Address :
Georgia Nurse Aide Registry
PO Box 105753
Atlanta, GA 30348

Reason For Duplicate :

Damaged (Must Return Current CNA Certification Card Via Mail)

Lost or Stolen (Must provide copy of driver's license or SS card)

Name Change - requires a copy of a court certified marriage certificate, divorce decree or court order granting name change (Must Return Current CNA Certification Card Via Mail)

Check if unemployed

Most Recent Employer Information
Employer/Facility Name :	* Employer Name	Phone Number 1:	Phone
Employer Type :	Employer Type	Phone Number 2:
Address 1:	Address	Address 2:
City / State / Zip :	Required * State Required 5 digits is required	County :
Date Worked From :	* Date Worked From	Date Worked To :	* Date Worked To Still Employed

If there is a change of address, it is the sole responsibility of the CNA to report this change. The CNA has 10 working days to report the change so that the registry will be updated appropriately. Please allow 10 business days for processing and check the registry status on the web portal at www.mmis.georgia.gov.

Comments :

Required Documents for Submission

Copy of Driver's License or SS Card

Print Blank PDF Form & Instructions

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