Primary Care Services in Greenville, SC
At Midtown Primary Care, primary care services in Greenville, SC work differently from what most people are used to. Everything you need from a primary care relationship sits under one roof, one provider, and one flat monthly fee. No separate programs, no extra charges, and no referrals required to move between what you need.
If you have been told any of these are specialty care, or sent to a different office for something your primary care provider should have handled in the first place,
Midtown was built for exactly that patient.
One provider. $85/month.
No copays. No per-visit billing. No separate program fees for hormones or weight loss. No referral required to get started. Medications and labs are a separate cost. You pay what the pharmacy charges, with no markup from Midtown. Plus a one-time $100 enrollment fee.
Your $85/month direct primary care membership in Greenville, SC, is HSA and FSA-eligible.
Primary Care
Primary care is your everyday medical home. It covers the health needs you deal with regularly, from a sick visit on a Tuesday to managing a chronic condition all year long. It is a strong fit if you manage a chronic condition, need regular physicals, or want a care provider who is available same-day and actually knows your chart.
Your $85/month covers all of the following with no extra charge per visit:
- Annual wellness exams and preventive screenings
- Sick visits and same-day acute care
- Chronic disease management: diabetes, high blood pressure, thyroid disorders
- Women's and men's health
- School, sports, and employment physicals
- In-office labs at near-cost pricing
Hormone Optimization
If you have been told your labs are normal, but you still feel exhausted, unable to lose weight, moody, or mentally foggy, your hormones may be the reason. Estrogen, progesterone, and testosterone shift during perimenopause, menopause, and with age in men, and those shifts affect everything from your sleep to your waistline.
Here is what that process looks like at Midtown:
- Full hormone panel ordered at the start: estrogen, progesterone, testosterone, and related markers
- Ayesha recommends HRT, BHRT, or testosterone therapy if the results support it
- Medications are a separate cost, the same as any prescription at a pharmacy
- Hormone pellet insertion is available and carries a separate supply fee for the procedure materials
Medical Weight Loss Support
Most weight loss programs start with what you eat. Midtown starts with why you cannot lose weight in the first place. Conditions like a low thyroid, a hormone imbalance, or insulin resistance cause weight gain that no diet can fix on its own, and we identify which one is working against you before building a plan. It is the right fit if you have tried dieting and exercise consistently with no results, and a previous provider never ran labs to find out why.
What your visits include:
- We walk you through the results and explain the medical reasons behind the weight gain
- A treatment plan built around your specific findings, not a one-size-fits-all approach
- GLP-1 medication support for members who qualify
- No separate enrollment fee to access weight loss care
Mental Health Screening and Medication Management
Anxiety, depression, and ADD do not belong on a six-month wait list. At Midtown, Ayesha evaluates your symptoms, makes a diagnosis, prescribes medication when the clinical record supports it, and follows up regularly to ensure the treatment is working. No referral needed to get started. It is the right fit if you need care now, not months from now, or if you are already on a mental health medication and need a new provider to manage it.
What Ayesha does at each visit:
- Uses clinical screening tools: the PHQ-9 for depression and a formal ADD assessment for attention concerns
- Prescribes antidepressants, anti-anxiety medications, and stimulants where appropriate
- Schedules follow-up visits to check progress and adjust the dose as needed
- Refers out when your needs go beyond primary care and tells you directly when that is the case
Lifestyle Coaching and Nutritional Guidance
Lifestyle coaching at Midtown is not a wellness program with a sign-up date or a separate fee. It is woven into every appointment through four pillars: modern medicine, movement, mindfulness, and motivation. If you have been told to eat better and exercise, but no one has ever connected that advice to your actual lab results, your weight, or your chronic condition, this is where that conversation finally happens.
What this looks like in practice:
- Nutritional guidance tied directly to your lab results, not a generic diet plan
- Movement recommendations based on your health goals and physical condition
- Sleep and stress are addressed as medical factors when they are visibly affecting your health
- Wellness coaching is built into every visit with no added cost
Urgent Care
Getting sick or hurt does not wait for a convenient time, and neither should the appointment. Midtown handles most urgent needs the same way it handles everything else: through your existing membership, with the same provider, and without a walk-in clinic bill.
What's included:
- Same-day and next-day sick visits
- In-office rapid strep and flu/COVID testing
- Minor laceration, sprain, and minor injury care
- Virtual sick visits when an in-person exam is not needed
- Directly texting or calling Ayesha to determine next steps
Frequently Asked Questions
Is everything listed here included in the $85/month membership?
Yes, with one clarification. The visits, lab reviews, care plans, and follow-up appointments for all services are included in your $85/month. What you pay separately is the cost of any labs or medications you pick up at the pharmacy. That cost is the same as any other prescription, because Ayesha sends it to a pharmacy, and you fill it there. If you want a hormone pellet insertion, which is a short in-office procedure, there is a separate fee to cover the cost of the materials. Outside of medications and pellet supplies, there are no extra charges, no premium tiers, and no per-visit fees.
Do I need insurance to become a Midtown member?
No. You do not need insurance to join Midtown or to visit. You pay your $85/month directly to Midtown. No insurance claim is filed for your primary care visits. No copay is due at the front desk. Keep your insurance for specialist visits, hospital stays, emergency care, and situations that go beyond primary care. For everything Midtown handles, you do not need it.
Do I need a referral to get hormone care or weight loss support?
No. Hormone optimization and weight loss support are part of your Midtown membership from the moment you join. You book a regular appointment, Ayesha orders the labs she needs, and you review the results and build a plan together. You do not need to see a separate provider first. You do not need a piece of paper saying you are allowed to address your own health. You schedule the visit and show up. That is it.
Can Ayesha manage my existing prescriptions if I transfer to Midtown?
In most cases, yes. When you transfer to Midtown, Ayesha reviews your medical records and your full prescription history before taking over any of your current medications. If a medication is working and there is a clear clinical reason for it, she continues it. If something looks unsafe, unnecessary, or outside the scope of primary care, she will tell you directly and explain her reasoning. She does not stop prescriptions without cause, and she does not add medications without a clinical reason either.
How is Midtown different from a regular clinic?
At a standard insurance-based practice, the office bills your insurance for each visit. That billing system limits how long appointments can run, often to 7 to 10 minutes. Providers in that system typically manage panels of 2,000 or more patients, which means less time per person and more difficulty getting a same-day or next-day appointment.
At Midtown, there is no per-visit insurance billing. You pay one flat fee of $85/month. Ayesha's patient panel stays small enough so that appointments run 30 to 60 minutes. You can text her directly and expect a response, usually the same day. Same-day and next-day appointments are available. You see the same provider every single visit. That is the actual difference.
DISCLAIMER: Membership with Midtown Primary Care is a direct primary care agreement between you and your provider. It is not health insurance, and it does not fulfill any insurance requirement under state or federal law. You should maintain separate health insurance coverage for specialist visits, hospitalizations, emergency care, and any services outside the scope of primary care. This membership is required by South Carolina law to carry this notice.
Ready to Get Primary Care Services in Greenville, SC?
Most patients at Midtown spent years being told that what they needed was somewhere else, someone else's department, or not covered. It was always covered here.
Midtown is an affordable healthcare option in Greenville, SC, for adults and families who want access to preventive care, chronic disease management, hormone optimization, mental health support, and lifestyle coaching under one flat fee. No copays. No referrals needed to start. Plus a one-time enrollment fee.
Serving Greenville, Mauldin, Simpsonville, Greer, Travelers Rest, and the surrounding Upstate South Carolina.
