NEWMedicare Advantage 2027 plans are live in the API.Read the changelog
STATE

Provider networks in Georgia.

InPlan holds provider listings for 47 Medicare Advantage plans that serve Georgia. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.

MEDICARE ADVANTAGE PLANS
47
PLAN YEARS
2027
INSURERS AND PLAN ORGANIZATIONS
5
LATEST READ
2026-10-29

What we hold in Georgia.

Plans whose provider directories list providers in our data.

Plans with provider listings in Georgia, by market
MARKETPLANSINSURERSPLAN YEARSLATEST READ
Medicare Advantage47520272026-10-29

How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.

Insurers in Georgia.

Plans with provider listings for each insurer or plan organization, as they publish their names. A Medicare Advantage plan counts in every state it serves.

Insurers with plans that list providers in Georgia
INSURERMARKETPLANS
HealthSpringMedicare Advantage20
Devoted HealthMedicare Advantage17
Clover HealthMedicare Advantage4
BlueCross BlueShield of TennesseeMedicare Advantage3
PruittHealth PremierMedicare Advantage3

Who the Medicare Advantage directories list.

More than 37,000 providers who practise in Georgia appear in the Medicare Advantage plans we hold. The most common primary specialties among them:

  • Nurse Practitioner4,635
  • Internal Medicine2,778
  • Family Practice2,466
  • Dentist2,164
  • Mental Health Counselor1,836
  • Physician Assistant1,611
  • Clinical Social Worker1,392
  • Optometry1,172

Specialties as the national provider registries record them. A provider counts once per specialty.

Example plans in Georgia.

Plans with the most provider-plan links, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.

Example plans with provider listings
PLANPLAN IDYEARTYPEPROVIDER-PLAN LINKS
HealthSpring True Choice (PPO)HealthSpringH7849-145-0002027Medicare AdvantagePPO373,995
HealthSpring True Choice (PPO)HealthSpringH7849-153-0002027Medicare AdvantagePPO373,995
HealthSpring Preferred (HMO)HealthSpringH4513-030-0002027Medicare AdvantageHMO217,973
HealthSpring TotalCare Plus (HMO D-SNP)HealthSpringH4513-079-0002027Medicare AdvantageHMO D-SNP · Special Needs Plan212,329
Devoted C-SNP Choice Enhanced 015 GA (PPO C-SNP)Devoted HealthH5453-015-0002027Medicare AdvantagePPO C-SNP · Special Needs Plan56,382
SAMPLE ANSWER

A real Georgia answer.

Barron D. Simmons, DDS, who practises in Athens, is listed in H7849-145-000. This is the answer the API gives today for that pair, with its source type and the date we read the listing.

Requestany language that speaks HTTP
curl -H "Authorization: Bearer $INPLAN_KEY" \
  "https://api.inplan.io/v1/check?npi=1003020595&plan_id=H7849-145-000"
Response, trimmed200 OK
{
  "npi": "1003020595",
  "plan_id": "H7849-145-000",
  "market": "ma",
  "in_network": true,
  "answer": "listed",
  "plan_year": 2027,
  "source": { "type": "plan_directory", "as_of": "2026-10-29" }
}
NPI 1003020595PLAN H7849-145-000

Barron D. Simmons, DDS

Dentist · Athens, GA

Listed

PLAN
HealthSpring True Choice (PPO)
INSURER
HealthSpring
MARKET
Medicare Advantage, plan year 2027
PLAN TYPE
PPO
SOURCE
plan_directory · read 2026-10-29
One real answer, as the API returns itCheck another pair
DATA FILE

Every Georgia provider, with every plan that lists them.

The Georgia data file is one CSV: one row for each provider and plan pair, for every provider practising in Georgia, with the source type and read date on each row.

FREE API KEY

Check Georgia providers in your own product.

Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.