"Telemedicine licensing" is terminologically imprecise: the Georgian system gives the physician not a licence but a state certificate, and telemedicine requires no separate certificate — Article 90 links the remote consultation directly to the very status of a subject of independent medical practice. That correction is the value of this page: it restates the question in its correct form — how does a physician obtain the state certificate that then covers telemedicine as well.
The Right and Its Basis
Article 7 provides that the right of independent medical practice belongs to a citizen of Georgia or of a foreign country or to a stateless person who has graduated from a Georgian state-accredited higher medical institution and, in the manner established by the law, has received a state certificate; the person holds this right only in the specialty indicated in the certificate. The law also erects one important barrier: a person whose right to medical practice has been stripped by a court under the Law on Combating Crimes against Sexual Freedom and Inviolability may not hold that right again — not even in the remote form. The grounds for issuing the certificate are detailed in Article 21, and in that list every document carries its own role: a written application in the established form, a copy of the higher medical education diploma, a state certificate confirming completion of the postgraduate (professional training) course in the relevant specialty, a submission-recommendation of the course supervisor or of the head of the institution where the applicant worked, a state certificate confirming the passing of the state certification examination, where applicable a document confirming an employment relationship, and a description of the works carried out in the relevant specialty during the last 2 years.
For physicians trained abroad, Article 21 shows two paths. A holder of a postgraduate course completed in a country on one statutory list, together with a foreign certificate received there, obtains in Georgia the certificate for permanent practice in the same specialty on the strength of an application, a diploma copy and that foreign certificate; where the course was completed in a country on the second list, a certificate of the passed state certification examination is added to those documents. This difference settles the question at the gate of the examination in advance, and it determines how quickly a foreign physician reaches the right to remote services.
The Examination — The Single Gate
Article 28 declares the state certification examination unified and standardized across the whole territory of the country. Admitted to the examination is a person who has completed the postgraduate (professional training) course in the relevant specialty, in Georgia or in a country on the statutory list. Where the assessment is negative, the person may retake the examination only twice within the following year, with a 6-month interval between examinations. These numbers operate for "telemedicine licensing" exactly as for any specialty — the examination is specialty-specific, not form-specific.