Physicians Credentialing

Welcome to the Physician credentialing section. Please download and complete the appropriate PDF file below. If you do not have a PDF reader, you can download one for free at the Adobe website

Anesthesia Initial Appointment

APN Initial Appointment

APN – Psych Initial Appointment

CRNA Initial Appointment

Dentistry Initial Appointment

Internal Medicine Initial Appointment 

PA Initial Appointment

Pathology Initial Appointment

Podiatry Initial Appointment

Psychiatry Initial Appointment

Radiology Initial Appointment

Specialty Medical Services Initial Appointment

Surgical Initial Appointment

Credentialing packets can be emailed to Elizabeth Davis at EDavis@acuityhealthcare.net, securely faxed to 704-731-8643, or mailed to:

Attn: Elizabeth Davis
Acuity Specialty Hospital – Physician Credentialing
1925 Atlantic Avenue 7th floor / Wellness Pavilion
Atlantic City, NJ 08401

Questions? Call Elizabeth Davis at 609-441-2178.