A membership practice. You get unhurried appointments with someone who knows your history, and a number you can call or text between visits. Our urgent care is included at no charge, seven days a week.
No copays. No billing surprises. Payable with pre-tax HSA dollars.
Not insurance — a membership for your primary care.
Maxfield Medical Urgent Care is in the same building, open 8am to 8pm every day of the year. Same team, your records on hand, no visit fee and no copay. Every member on your plan is covered.
Physicals, chronic conditions, and everything you want time to talk through. Booked directly with the clinician who knows your history.
Walk in when it can't wait — nights, weekends, holidays. No charge to members.
A flat monthly fee, and no insurance billing — so nothing about your visit is shaped by what a plan will reimburse.
We cap each panel at 750 members, so visits run 30 to 60 minutes instead of seven — usually same day or next.
Call, text, or email about the things that don't need a visit: a rash, a medication question, a lab result. Megan or Dr. Garrett carries the member line 9am–6pm on weekdays; every message gets an answer within one business day.
Labs at our cost. No facility fees, no surprise bill six weeks later.
Per person, billed monthly. The more people on your membership, the lower the rate.
Join before March 1, 2027 and the $99 enrollment fee is waived. You'll also keep these rates for as long as your membership stays active, whatever we charge later.
One member.
Within the federal HSA limitAny two in the same household — $260 per month total.
Within the federal HSA limitThree or more members in the same household, including children through age 26. A family of four is $440 per month.
Households of three: tell us when you enroll and we price you at $100 per person — $300 even — so you can keep contributing to an HSA.
Households of four or more sit above the federal limit at any price we could offer; money already in your HSA still pays the fee.
Charged once per member, capped at $198 per household. It covers your long first visit and gathering your records. Billed when you enroll; your first monthly payment begins the following month. Waived before March 1, 2027.
Cancel any time with 30 days' notice, as Georgia law requires. If you leave and later rejoin, the enrollment fee applies again — rejoining means starting your file over.
Two changes — one federal, one in Georgia — put direct primary care on solid tax and legal footing.
Federal law now treats direct primary care fees as a qualified medical expense, so you can pay your membership with pre-tax HSA dollars — depending on your bracket, effectively 20–35% off every month. Contribution limits apply above $300 a month per household; the FAQ has the detail.
Georgia's Direct Primary Care Act establishes that a direct primary care agreement is not insurance. That's why we can charge a flat fee with no claims, no network, and no third party in your visit. The law also requires a written agreement stating what your fee covers and your right to cancel. Ours does both.
Paying full price until you hit a $6,000 deductible? A flat monthly fee usually costs less and gets you more.
You buy your own coverage and feel every dollar. Pair a catastrophic plan with membership primary care.
Real primary care for your team at a predictable per-employee cost.
Uninsured, on a health share, or just done with the system.
You don't have to walk into HR and explain direct primary care yourself. Tell us where you work and we'll reach out, walk them through it, and put real numbers in front of them.
Most primary care offices have one kind of training behind them. We have three, and the team is small enough that whoever you see already knows your history.
Megan Cheatham is a board-certified Family Nurse Practitioner with experience in primary care and hospital medicine. She believes exceptional healthcare begins with time — the time to listen, understand, and build a plan that is truly personalized to each patient. Direct primary care lets her practice that way: evidence-based medicine, real accessibility, and an emphasis on prevention. Her goal is care that feels personal rather than rushed, where patients feel known, heard, and confident.
Board-certified in Emergency Medicine with more than 15 years of experience. An emergency department sees people on the worst day of a problem — often a day that could have gone differently if there had been someone to call. After years of seeing how fragmented and impersonal healthcare can feel, he co-founded Maxfield Medical to give patients something different: an ongoing relationship with a clinician they know and trust, backed by the convenience of urgent care when they need it.
Board-certified in Internal Medicine, Ryan has spent his career in hospital medicine, caring for adults when they are at their sickest. That work shows you exactly what happens when primary care breaks down — the missed follow-up, the medication no one reconciled, the condition that drifted — and what it takes to prevent it. He brings that judgment upstream: unhurried visits, close follow-up, and coordination that keeps small problems from becoming admissions.
No. Direct primary care is a membership for your primary care — it is not health insurance and it is not a substitute for it. We recommend members keep a plan for hospitalization, surgery, specialists, and emergencies. Many of our members pair membership with a high-deductible or catastrophic plan and spend less overall than they did before.
Most of your visits will be with Megan Cheatham, our family nurse practitioner. She's the clinician assigned to your care, and she's the one who knows your history.
Dr. Garrett is an emergency physician and sees members directly when something calls for a physician — no referral, no waiting list, no starting over with someone who's never met you.
Dr. Spilman is an internist, and he's the specialist behind the scenes. When a chronic condition gets complicated, Megan and Dr. Garrett consult him on your case. You may never meet him. That's the point — you get an internal medicine opinion without a referral, a waiting room, and a six-week delay.
Megan or Dr. Garrett carries the member line from 9am to 6pm, Monday through Friday — call it, text it, or email us. Every message gets an answer within one business day, and usually the same day. After 6pm and on weekends, Maxfield Medical Urgent Care is open 8am to 8pm in the same building and included in your membership. For an emergency, call 911.
Walk into Maxfield Medical Urgent Care any day, 8am to 8pm. Included, same building, same records.
Yes. Since January 1, 2026, federal law treats direct primary care fees as a qualified medical expense, so you can pay with pre-tax HSA dollars. Money already in your account covers the membership at any household size.
Contributing new money is what the limit governs: your total fee has to stay at or below $150 for an individual and $300 for a household. Individual membership is $150 exactly, and a couple at $130 each is $260 — both under. A household of three lists at $330, so if you're funding an HSA we price you at $100 per person, $300 even. Just tell us when you enroll. Four or more is $440, above the limit at any price we could offer; existing HSA money still pays it, but you can't make new contributions while enrolled.
If you're actively funding an HSA, it's worth a word with your tax advisor first.
Yes to both. Their contribution is generally deductible as an ordinary business expense. Tell us where you work and we'll make the case for you — see the section above.
Yes. Georgia's Direct Primary Care Act, passed in 2019 and codified at O.C.G.A. § 33-7-2.1, establishes that a direct primary care agreement is not insurance and is not regulated as an insurance product. It also requires that your agreement be in writing, state exactly what your fee covers, and preserve your right to cancel. Ours meets those requirements.
We don't bill insurance for membership care — that's what lets us keep panels small and prices flat. Your insurance still works everywhere else: hospitals, specialists, imaging, and prescriptions.
We coordinate it. Because your clinician actually has time, referrals come with a real conversation and a real handoff rather than a portal message. Care outside our practice is billed to your insurance as usual.
$99 per member, capped at $198 per household. It covers your long first visit and collecting your records. Waived entirely if you join before March 1, 2027.
No minimum commitment, no cancellation penalty. Cancel any time with 30 days' written notice — Georgia law requires that of both of us.
One condition we'd rather say upfront: if you rejoin later, the enrollment fee applies again. Rejoining means starting your file over, and that's the work the fee covers. Membership works because members are in it before they need it — the fee from people having a healthy year keeps the schedule open for whoever is having a bad one.
Yes, and we'll say plainly when we aren't. Each of us caps our panel at 750 members. That limit is the whole reason the rest of this works — a conventional primary care panel often runs two thousand or more, which is exactly why those visits last seven minutes.
When a panel fills, new members join a waitlist rather than being absorbed into a schedule that no longer has room for them.
Choose your membership, add your household, and we'll schedule your first visit — a long one, on purpose. Join before March 1, 2027: no enrollment fee, and your rate holds as long as your membership stays active.
Questions first? Call (470) 239-4877
Maxfield Medical Direct Primary Care is a membership-based medical practice operating under a direct primary care agreement as defined by O.C.G.A. § 33-7-2.1. This agreement is not health insurance. It is not a health plan and is not a substitute for coverage. Membership does not cover hospitalization, specialist care, emergency services, or prescription medications. Tax information on this site is general, reflects federal and Georgia law as of 2026, and is not tax or legal advice — consult your own advisor about your situation. Information on this site is not medical advice.
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