Group Practice Signup

Fill in your details to create your account.

Practice Information

Practice Name *

Group NPI (Type 2)

Tax ID / EIN

Practice Address

Plan

Add Group Credentialing — $300 one-time

Credential your group entity (Tax ID / Group NPI) with all 8 TX payers. After approval, $60/mo maintenance applies. Separate from individual provider credentialing.

Owner / Admin Information

First Name *

Last Name *

Email *

Phone

I am also a behavioral health provider

Check this if you will also be credentialed as a provider. Uncheck if you only manage the business.

Credentials

Individual NPI (Type 1)

License Type

License Number

License State

Password

Password * (min 8)

Confirm Password *

I agree to the Terms of Service and Privacy Policy.

You'll be able to add providers right after signup.
Full features unlock once billing is activated.

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