50-State Guide
Alabama
Last updated June 2026
At a Glance
| Category | Details |
|---|---|
| IMLC Member | Yes |
| FCVS | Accepted |
| NP Independent Practice | No |
| PA Independent Practice | No |
| Physician-Owned PC Allowed | Yes |
| Max NPs per Physician | 9 |
| Max PAs per Physician | 9 |
Licensure
| Item | Cost |
|---|---|
| Initial License | $375 |
| Renewal Fee | $150 |
| Renewal Cycle | Annual |
| Annualized Cost | $150.00 |
| Controlled Substance Registration | Yes ($150/yr) |
In-State Physician Requirement
Strict: Must be resident & practicing in AL.
APC Supervision
Nurse Practitioners
NPs require physician supervision in Alabama.
- Maximum NPs per physician: 9
Physician Assistants
PAs require physician supervision in Alabama.
- Maximum PAs per physician: 9
Additional Notes
Combined cap of 9 Full-Time Equivalents (FTE).
CME & Training Requirements
| Requirement | Details |
|---|---|
| Total CME | Contact board |
| Category 1 Minimum | 2 hours |
| Cycle | Annual |
| Opioid/Pain Mgmt | 2 hrs/cycle |
| Human Trafficking | Not required |
| Implicit Bias | Not required |
| Suicide Prevention | Not required |
| DEA MATE Act | 8 hrs one-time (federal) |
| Jurisprudence Exam | Required |
Fingerprint Requirements
| Detail | Info |
|---|---|
| Required | Yes |
| FBI Check | Unknown |
| Method | LiveScan |
| Out-of-State Options | Contact board |
| Timing | With application |
Quirks & Gotchas
- Jurisprudence Exam: Not required
- Fingerprints/Background Check: Required
- Mandatory CME Topics: Opioid, Pain Management, Controlled Substance, Pdmp
- Typical Processing Time: 2-3 months
- Canadian medical school graduates are now classified as international medical graduates (IMGs) requiring ECFMG certification effective 7/1/2025 - a recent change that catches Canadians off guard
- A criminal history background check is mandatory and carries a $65 non-refundable fee built into the application
- No malpractice insurance requirement - Alabama does not mandate professional liability coverage as a licensure condition (unusual and worth knowing if you’re coming from a state that does).
These quirks are researched from state board websites and may change. Verify with the board directly before applying.
Resources
- Alabama Board of Medical Examiners
- FSMB State Licensure Directory
- Interstate Medical Licensure Compact
Sources
Data compiled from state medical board websites, FSMB, and regulatory filings. Last updated June 2026.
Have a correction or update? Let us know.