Welcome to Medical Staff Services at Carolinas Healthcare System. Medical Staff Services strives to provide credentialing services to the medical staff and allied health professionals in a professional and timely manner. Please watch our video to learn more about our centralized electronic verification process for completing credentialing and privilege requests across the enterprise.

Clinical Credentialing and Privileging

Private Provider Information Form (PIF) 

Please complete in its entirety the Private Provider Information Form, this form is used to initiate the application process for private providers. Once you have completed the Private Provider Information Form, please email the completed form to MSSproviderREQ@carolinashealthcare.org

Private Provider Information Form 

Pre Application 

After Medical Staff Services has received your Provider Information Form you will receive an email from the Intake Coordinator requesting that you complete the Pre Application. You will need to enter the email address provided in the email, then click “First Time Login”. An email will be sent to you with a link. Follow the directions in the email to create your password. Please save this password, you will need it to complete your full medical staff application at a later date. Once completed, sign electronically and submit within 1 business day. 

Medical Staff Pre-Application

SPECIAL NOTE: Upon our review of your pre-application and it is determined you meet eligibility; you will be sent a second email with a link to your medical staff application.

Medical Staff Application

To complete the medical staff application, you will need to access the link below. You will need to enter your email address. If you have not previously created a password, you will need to select “First Time Login” to create one. 

Medical Staff Application

Due to the time-sensitivity of this information and levels of approval, it is imperative that you submit your application along with all supporting documents expeditiously or within 5 days of receipt of this email to avoid potential delays in your scheduled start date. If we do not receive the application and all supporting documents within 10 days, your packet is considered incomplete and we will request a new start date.

Credentialing Status Portal

Through this real-time portal the provider’s application status can be tracked, in addition to any outstanding documents that are needed to complete the process.

Employed Providers

Private Providers 


Providers are notified of their re-credentialing via the email address on file with the Medical Staff Services Office, and no longer receive a paper packet in the mail.


Hospital Affiliation Verification

To access the NAMSS PASS™ visit NAMSS PASS External Icon. Login to the NAMSS Website using your NAMSS member username and password, or by creating a guest account. Once you log in, click on Access the NAMSS PASS. 

You will have access to all affiliations that have been uploaded to the NAMSS PASS™ for each practitioner (including their affiliation with CHS and the dates of that affiliation. You will then have the option to print an affiliation letter indicating the status of good standing.

Graduate Medical Education Training Verification

Requests to verify a GME resident's or fellow's training at Carolinas Healthcare Systems are processed by the individual program where the resident/fellow completed that training. Please contact programs directly with your verification inquiries; the Medical Staff Office does not complete verification of training forms. Please use the link to contact the program directly. 

Program Directory 

Liability Insurance Verification

To request your loss run history during your tenure at Carolinas HealthCare System please contact the Corporate Risk Management office via email CorporateR@carolinashealthcare.org

Credentialing Documents

To help you keep up with credentialing requirements and paperwork, we’ve put together a helpful checklist This document lists everything you will need to complete the credentialing process for medical staff privileging, managed care participation and government enrollment. 

Please review the most frequently used credentialing documents below. If you have additional questions, please contact the Medical Staff Services department at 704-355-2147. 

Credentialing Forms:

Contact Us

If you have questions or would like to receive additional information related to Carolinas HealthCare System, please send an email to MSSproviderREQ@carolinashealthcare.org or call us at 704-355-2147.