TL;DR
Atlanta free PrEP options: AID Atlanta and Positive Impact Health Centers (free testing, PrEP enrollment); Fulton County Department of HIV Elimination; AHF Atlanta (multiple locations); Grady Health; and telehealth PrEP ($99/quarter fee waived in Georgia, making it free statewide). Georgia did NOT fully expand Medicaid, so Medicaid eligibility is narrow, making telehealth and community providers especially important.
Atlanta's HIV landscape
Georgia ranks 2nd highest in U.S. HIV diagnosis rates at 26.4/100,000. Atlanta concentrates the state's HIV burden — DeKalb (51.4/100K), Clayton (50.6), and Fulton (50.5) are among the highest-rate counties in the nation. 67% of new Georgia diagnoses are in Black/non-Hispanic residents; 66% are in men who have sex with men. Georgia's PrEP-to-Need Ratio is ~6 — among the worst in the nation. Fulton County received $37M+ in combined Ryan White Part A + EHE funding for FY2025.
Three main pathways to free PrEP in Atlanta
Pathway 1: AID Atlanta and Positive Impact Health Centers
Atlanta's two major community-based PrEP providers. Both offer free PrEP enrollment for uninsured patients and extensive wraparound services.
- AID Atlanta: 1605 Peachtree St NE, Atlanta GA 30309 | (470) 283-7349. Free HIV/STI testing, PrEP enrollment, primary care, housing services. Newnan satellite: (770) 252-5418.
- Positive Impact Health Centers: Multiple locations — Decatur (404-589-9040), Duluth (770-962-8396), Marietta (770-514-2464). Free testing, PrEP/PEP enrollment.
Pathway 2: Fulton County Department of HIV Elimination
Fulton County (which contains most of Atlanta) operates an HIV Elimination program with significant EHE federal funding. Primarily coordinates prevention services and refers patients to PrEP providers.
- Phone: (404) 612-8285
- Website: endhivatl.org
- Funding: $37+ million in combined Ryan White Part A + EHE funding for FY2025
In addition, 17 of Georgia's 18 public health districts dispense PrEP medication at low or no cost to uninsured patients. Only 4 districts cover full ancillary costs (labs, visits): North (Gainesville), Clayton (Jonesboro), Southeast (Waycross), and Northeast (Athens). The Atlanta-area Clayton district is the most comprehensive.
Pathway 3: Online telehealth platforms
Online telehealth Some telehealth PrEP services provide free PrEP delivered to any Atlanta address — including consultation, labs, and medication — regardless of insurance status. For many Atlanta residents, this is the fastest path to $0 PrEP, especially for people who prefer privacy or can't make a daytime clinic appointment.
Atlanta-area providers to know
AHF Georgia (Multiple Locations)
Peachtree: 1438 Peachtree St NW, Atlanta. Auburn Ave: 659 Auburn Ave NE, Suite 156. Phone: (404) 588-4680. Free HIV care and PrEP.
Grady Health — Ponce de Leon Center
341 Ponce de Leon Ave NE, Atlanta. Phone: (404) 616-2440. One of the nation's largest HIV programs (5,000+ patients). Primarily HIV treatment but PrEP counseling available.
AvitaCare Atlanta
Primary care, gender-affirming care, PrEP/PEP, pharmacy services. Serves LGBTQ+ community.
Family Health Centers of Georgia (FQHCs)
175+ locations statewide through the Georgia Family Planning System. Federal mandate requires they serve all patients regardless of ability to pay. fhcga.org
State-level programs and links
Atlanta residents benefit from Georgia's broader PrEP infrastructure. For state-level programs, eligibility details, and statewide resources, see our Georgia PrEP guide or the complete state-by-state directory.
Georgia-specific notes: Georgia does NOT have a dedicated state PrEP DAP (the Georgia ADAP is exclusively for HIV-positive individuals). Georgia did NOT fully expand Medicaid — the limited Georgia Pathways to Coverage program requires 80 hours/month of qualifying activities and has very low enrollment (~15,427 beneficiaries vs. projected 64,000). Approximately 1.2 million Georgians are uninsured. HB 1028 (2024) authorized pharmacist-dispensed PEP with DPH-developed training modules.
Special populations in Atlanta
If you're undocumented: Georgia Pathways requires citizenship/legal residence — Medicaid is not a pathway for undocumented residents. MISTR serves regardless of documentation. FQHCs (175+ locations) serve all patients regardless of status. AID Atlanta and community providers generally serve undocumented patients. Gilead Advancing Access doesn't require SSN.
If you're a minor: Georgia Code §31-17-7 allows minors to consent to STI testing and treatment. PrEP is not expressly covered. Georgia law does NOT permit minors to independently consent to HIV testing.
If you're transgender: SB 140 (2023) bans gender-affirming care for minors in Georgia. Trans-affirming adult providers include AvitaCare Atlanta, TRANScending Barriers Atlanta, and FOLX Health (telehealth).
Frequently asked questions
Does Georgia have a state PrEP assistance program?
No. Georgia does not have a dedicated PrEP Drug Assistance Program. Uninsured Georgians rely on community providers (AID Atlanta, Positive Impact), public health districts (17 of 18 dispense PrEP), Gilead Advancing Access, and telehealth platforms.
How do I get free PrEP in Atlanta without insurance?
Best options: (1) MISTR — free in Georgia (fee waived), delivered to any Atlanta address; (2) AID Atlanta or Positive Impact Health Centers for in-person care; (3) Gilead Advancing Access for free Descovy or Yeztugo if under 500% FPL; (4) FQHC on sliding scale.
Can I get free PrEP in Atlanta if I'm undocumented?
Yes. MISTR serves regardless of documentation. AID Atlanta and most community providers serve undocumented patients. FQHCs are required by federal law to serve all patients regardless of documentation. Gilead Advancing Access serves patients without requiring SSN.
Does Fulton County provide free PrEP?
Fulton County's Department of HIV Elimination coordinates prevention funding and refers patients to PrEP providers. Direct PrEP provision happens mostly through community partners (AID Atlanta, Positive Impact) rather than county-run clinics.
Can pharmacists prescribe PrEP in Georgia?
Not yet for PrEP. HB 1028 (2024) authorized pharmacist-dispensed PEP only. Georgia pharmacists cannot directly prescribe PrEP at this time.