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Georgia Certified Nursing Assistant — Requirements & Free Practice

US-GA · License preparation

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Licenses, application pathways and examination requirements

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Certified Nurse Aide (CNA)

Georgia nurse aide certification and registry listing; the DCH manual identifies certified nurse aides as nursing assistants.

Licensing authority: Georgia Department of Community Health · Application information

Initial certification — completed training at a now inactive approved program

All of the following:

  • NNAAP Written (or Oral) Examination

  • At least one of the following alternatives:

    • National Nurse Aide Assessment Program (NNAAP) Skills Evaluation (assessment without a question bank)
    • CNA Virtual Skills Evaluation (assessment without a question bank)
Medical Availability
Candidates on medical light duty may take the written/oral exam, but may not take the skills evaluation until medically released to full duty; contact the provider for authorization.
Skills Alternative Availability
UGA virtual skills evaluations require completion of an approved Nurse Aide Training Program and scheduling by an authorized facility representative; Credentia NNAAP skills remain an alternative. Written and skills parts must both be passed; the written/oral option is one shared examination, not two mandatory exams.
Testing Window
Pass both portions within one year of training completion and within three attempts; otherwise complete a new approved training program.
Training
Completed a Georgia state-approved nurse aide program whose institution is no longer active.
Initial certification — state approved nurse aide training

All of the following:

  • NNAAP Written (or Oral) Examination

  • At least one of the following alternatives:

    • National Nurse Aide Assessment Program (NNAAP) Skills Evaluation (assessment without a question bank)
    • CNA Virtual Skills Evaluation (assessment without a question bank)
Medical Availability
Candidates on medical light duty may take the written/oral exam, but may not take the skills evaluation until medically released to full duty; contact the provider for authorization.
Skills Alternative Availability
UGA virtual skills evaluations require completion of an approved Nurse Aide Training Program and scheduling by an authorized facility representative; Credentia NNAAP skills remain an alternative. Written and skills parts must both be passed; the written/oral option is one shared examination, not two mandatory exams.
Testing Window
Pass both portions within one year of program completion, with at most three attempts; otherwise retraining is required.
Training
Complete a Georgia-approved program: at least 85 hours including 24 hours of supervised clinical rotation.
Certification by examination — expired certification from another U.S. jurisdiction

All of the following:

  • NNAAP Written (or Oral) Examination

  • At least one of the following alternatives:

    • National Nurse Aide Assessment Program (NNAAP) Skills Evaluation (assessment without a question bank)
    • CNA Virtual Skills Evaluation (assessment without a question bank)
Authorization
Contact Alliant for approval; up to three attempts for both portions within one year of approval.
Medical Availability
Candidates on medical light duty may take the written/oral exam, but may not take the skills evaluation until medically released to full duty; contact the provider for authorization.
Older Handbook Timing
The August 2024 handbook uses training completion instead of approval to measure the E4 examination window; obtain the actual authorized deadline from Alliant.
Prior Certification
Previously completed a state-approved training program and hold a lapsed certification; the current E4 guidance limits eligibility to inactivity/expiration of one year or less.
Skills Alternative Availability
UGA virtual skills evaluations require completion of an approved Nurse Aide Training Program and scheduling by an authorized facility representative; Credentia NNAAP skills remain an alternative. Written and skills parts must both be passed; the written/oral option is one shared examination, not two mandatory exams.
Initial certification — licensed LPN or RN

All of the following:

  • NNAAP Written (or Oral) Examination

  • At least one of the following alternatives:

    • National Nurse Aide Assessment Program (NNAAP) Skills Evaluation (assessment without a question bank)
    • CNA Virtual Skills Evaluation (assessment without a question bank)
Authorization
Obtain Alliant testing approval; the current implementing page allows three attempts within one year of that approval.
Medical Availability
Candidates on medical light duty may take the written/oral exam, but may not take the skills evaluation until medically released to full duty; contact the provider for authorization.
Older Handbook Timing
The pinned August 2024 handbook uses the training-completion date instead of the approval date for E2. The applicant should obtain the actual authorized deadline from Alliant.
Professional License
Hold a current active LPN or RN license in good standing in Georgia or another U.S. jurisdiction.
Skills Alternative Availability
UGA virtual skills evaluations require completion of an approved Nurse Aide Training Program and scheduling by an authorized facility representative; Credentia NNAAP skills remain an alternative. Written and skills parts must both be passed; the written/oral option is one shared examination, not two mandatory exams.
Initial certification — nursing graduate awaiting nursing licensure examination

All of the following:

  • NNAAP Written (or Oral) Examination

  • At least one of the following alternatives:

    • National Nurse Aide Assessment Program (NNAAP) Skills Evaluation (assessment without a question bank)
    • CNA Virtual Skills Evaluation (assessment without a question bank)
Application
Apply to take the nursing licensure examination and request CNA registry placement in writing.
Documentation
Submit a nursing-school transcript and Georgia Board of Nursing verification letter for testing, each within the stated three-year graduation window, plus social security card and government-issued photo ID. Nursing licensure examinations concern another profession and are applicant conditions, not leaves.
Education
Complete the first sixteen training hours required before hands-on patient care.
Medical Availability
Candidates on medical light duty may take the written/oral exam, but may not take the skills evaluation until medically released to full duty; contact the provider for authorization.
Skills Alternative Availability
UGA virtual skills evaluations require completion of an approved Nurse Aide Training Program and scheduling by an authorized facility representative; Credentia NNAAP skills remain an alternative. Written and skills parts must both be passed; the written/oral option is one shared examination, not two mandatory exams.
Certification by reciprocity — active registry status and qualifying paid work

All of the following:

  • NNAAP Written (or Oral) Examination

  • At least one of the following alternatives:

    • National Nurse Aide Assessment Program (NNAAP) Skills Evaluation (assessment without a question bank)
    • CNA Virtual Skills Evaluation (assessment without a question bank)
Discretion Source Quote
The State Contractor reserves the right to require nurse aides transferring to take the written/oral and skills competency exam.
Employment
At least eight paid CNA hours under nurse supervision in the two years before application; submit employment verification. Private duty additionally requires a notarized statement, nurse license information and proof of paid work.
Identity Documents
Supply government-issued social security card and photo ID matching the registry identity; provide name-change documentation as necessary.
Medical Availability
Candidates on medical light duty may take the written/oral exam, but may not take the skills evaluation until medically released to full duty; contact the provider for authorization.
Prior Certification
Active unencumbered nurse aide registration in another U.S. jurisdiction, without pending or substantiated abuse, neglect or property-misappropriation findings.
Skills Alternative Availability
UGA virtual skills evaluations require completion of an approved Nurse Aide Training Program and scheduling by an authorized facility representative; Credentia NNAAP skills remain an alternative. Written and skills parts must both be passed; the written/oral option is one shared examination, not two mandatory exams.
Waiver
The transfer form says qualifying applicants may be listed without Georgia written/oral and skills testing, but DCH Manual 811 reserves discretion to require those exams. The leaves retain the exams the contractor may require; the waiver is an applicant condition.
Waiver Source Quote
4. The Georgia Nurse Aide Registry will verify registry status in the state that currently lists your name as a certified nurse aide. Upon state verification, the Georgia Nurse Aide Registry will evaluate the complete application, along with the state verification information before adding your name to the Georgia registry without taking the Georgia Written/Oral and Skills Competency Examination. You must meet all the eligibility requirements listed in Part I.
Reciprocity applicants requiring competency examination

All of the following:

  • NNAAP Written (or Oral) Examination

  • At least one of the following alternatives:

    • National Nurse Aide Assessment Program (NNAAP) Skills Evaluation (assessment without a question bank)
    • CNA Virtual Skills Evaluation (assessment without a question bank)
Authorization
Alliant authorization allows three attempts at both portions within one year of authorization.
Jurisdiction Specific Transfer Condition
The Georgia implementing sources state that a Maryland CNA must have GNA status for direct transfer; applicants without it are directed to Georgia competency testing. This records Georgia requirements only.
Medical Availability
Candidates on medical light duty may take the written/oral exam, but may not take the skills evaluation until medically released to full duty; contact the provider for authorization.
Prior Certification
Active certification in good standing elsewhere but no qualifying nurse aide work during the preceding 24 months, or the applicant is not eligible for long-term-care work under the source criteria.
Skills Alternative Availability
UGA virtual skills evaluations require completion of an approved Nurse Aide Training Program and scheduling by an authorized facility representative; Credentia NNAAP skills remain an alternative. Written and skills parts must both be passed; the written/oral option is one shared examination, not two mandatory exams.
Biennial renewal — qualifying paid nurse aide employment
No examination is required for this applicant pathway.
Employment
Document at least eight paid CNA hours under nurse supervision during the preceding 24 months; renew every two years.
Submission
Submit the online renewal form and employment proof before expiration. For private duty supply the required notarized work statement, supervising nurse information and pay documentation.

Official no-examination sources

Effective from 2026-09-22.

Restoration — Georgia registration expired for less than one year

All of the following:

  • NNAAP Written (or Oral) Examination

  • At least one of the following alternatives:

    • National Nurse Aide Assessment Program (NNAAP) Skills Evaluation (assessment without a question bank)
    • CNA Virtual Skills Evaluation (assessment without a question bank)
Authorization
Obtain Alliant authorization; three examination attempts are allowed. At exactly one year, Section 808.3 of the July 2026 DCH manual requires a new state-approved program; the E5 page describes one year or less, so seek the contractor determination at that boundary.
Medical Availability
Candidates on medical light duty may take the written/oral exam, but may not take the skills evaluation until medically released to full duty; contact the provider for authorization.
Prior Certification
Georgia certification is inactive or expired for one year or less under E5, subject to Alliant eligibility approval.
Skills Alternative Availability
UGA virtual skills evaluations require completion of an approved Nurse Aide Training Program and scheduling by an authorized facility representative; Credentia NNAAP skills remain an alternative. Written and skills parts must both be passed; the written/oral option is one shared examination, not two mandatory exams.
Restoration — certification expired at least one year after registry expiration

All of the following:

  • NNAAP Written (or Oral) Examination

  • At least one of the following alternatives:

    • National Nurse Aide Assessment Program (NNAAP) Skills Evaluation (assessment without a question bank)
    • CNA Virtual Skills Evaluation (assessment without a question bank)
Implementing Threshold Difference
The May 2026 renewal form instead describes three years from the most recent recertification. These dates can coincide on the normal two-year certification cycle; the manual controls the description of the lapse boundary.
Medical Availability
Candidates on medical light duty may take the written/oral exam, but may not take the skills evaluation until medically released to full duty; contact the provider for authorization.
Prior Certification
Prior Georgia nurse aide certification expired one year or more after the registry expiration date.
Renewal Form Quote
If your certification expires three or more years from date of last re-certification date, then you must take another State approved nurse aide training program and pass the Written/Oral and Skills Competency Examination.
Skills Alternative Availability
UGA virtual skills evaluations require completion of an approved Nurse Aide Training Program and scheduling by an authorized facility representative; Credentia NNAAP skills remain an alternative. Written and skills parts must both be passed; the written/oral option is one shared examination, not two mandatory exams.
Training
Under the July 2026 manual, complete a new approved program and pass both competency portions; certification is then updated for two years.
Initial certification — approved training outside Georgia, not yet registered

All of the following:

  • NNAAP Written (or Oral) Examination

  • At least one of the following alternatives:

    • National Nurse Aide Assessment Program (NNAAP) Skills Evaluation (assessment without a question bank)
    • CNA Virtual Skills Evaluation (assessment without a question bank)
Authorization
Obtain Alliant authorization; up to three attempts for both examinations within one year of training completion.
Medical Availability
Candidates on medical light duty may take the written/oral exam, but may not take the skills evaluation until medically released to full duty; contact the provider for authorization.
Skills Alternative Availability
UGA virtual skills evaluations require completion of an approved Nurse Aide Training Program and scheduling by an authorized facility representative; Credentia NNAAP skills remain an alternative. Written and skills parts must both be passed; the written/oral option is one shared examination, not two mandatory exams.
Training
Complete another U.S. jurisdiction-approved nurse aide program and not yet be listed on its registry.

CNA Virtual Skills Evaluation

This assessment does not have a question bank.

Examination sources

National Nurse Aide Assessment Program (NNAAP) Skills Evaluation

This assessment does not have a question bank.

Provider
Credentia Nurse Aide LLC (develops and manages the NNAAP exam); administered by Credentia at test centers
Format
Performance evaluation at a test center, scored and retaken separately from the Written (or Oral) Examination: the candidate performs five skills on a candidate volunteer acting as the client and is rated by a Nurse Aide Evaluator; each skill is scored Satisfactory or Unsatisfactory and all five must be Satisfactory to pass
Time limit
30 minutes
Examination sources

NNAAP Written (or Oral) Examination

Provider
Credentia Nurse Aide LLC (develops and manages the NNAAP exam); administered by Credentia online or at test centers
Format
Multiple-choice examination taken online or at a test center, in English or Spanish, scored and retaken separately from the Skills Evaluation; candidates may choose the Oral Examination form, in which the multiple-choice questions are read aloud by recorded voice (MP3 player at test centers) and ten reading comprehension (word recognition) questions are added, and both Oral sections must be passed
Exam questions
70 multiple-choice items: 60 scored and 10 pretest (non-scored); the Oral form has 60 multiple-choice items and 10 reading comprehension (word recognition) items
Time limit
2 hours
Examination outline
  • I. Physical Care Skills — A. Activities of Daily Living (22% of the exam; 13 questions) (22%)
    • Activities of Daily Living — 1. Hygiene
    • Activities of Daily Living — 2. Dressing and Grooming
    • Activities of Daily Living — 3. Nutrition and Hydration
    • Activities of Daily Living — 4. Elimination
    • Activities of Daily Living — 5. Rest/Sleep/Comfort
  • I. Physical Care Skills — B. Basic Nursing Skills (35% of the exam; 21 questions) (35%)
    • Basic Nursing Skills — 1. Infection Control
    • Basic Nursing Skills — 2. Safety/Emergency
    • Basic Nursing Skills — 3. Therapeutic/Technical Procedures
    • Basic Nursing Skills — 4. Data Collection and Reporting
  • I. Physical Care Skills — C. Self-Care and Independence (7% of the exam; 4 questions) (7%)
    • Self-Care and Independence
  • II. Psychosocial Care Skills — A. Emotional and Mental Health Needs (8% of the exam; 5 questions) (8%)
    • Emotional and Mental Health Needs
  • II. Psychosocial Care Skills — B. Spiritual and Cultural Needs (2% of the exam; 1 question) (2%)
    • Spiritual and Cultural Needs
  • III. Role of the Nurse Aide — A. Communication (7% of the exam; 4 questions) (7%)
    • Communication
  • III. Role of the Nurse Aide — B. Client Rights (8% of the exam; 5 questions) (8%)
    • Client Rights
  • III. Role of the Nurse Aide — C. Legal and Ethical Behavior (5% of the exam; 3 questions) (5%)
    • Legal and Ethical Behavior
  • III. Role of the Nurse Aide — D. Member of the Health Care Team (6% of the exam; 4 questions) (6%)
    • Member of the Health Care Team
Examination sources