Direct Primary Care · Randleman, NC

Your physician, on demand — not on the clock.

A modern membership-based primary care and obesity medicine practice. No insurance gatekeeping, no rushed visits, no surprise bills. Just a real relationship with a physician who knows your name and has time for your story.

อภัย · Aphai

In Thai, Aphai means forgiveness. We believe everyone deserves a second chance at health — to step back, start again, and be cared for without judgment.

Board-Certified Internal Medicine No Insurance Required Transparent Pricing 30–60 Min Visits
What's included

Comprehensive adult primary care, without the runaround.

Your membership covers the everyday medicine that should never feel transactional. Aphai serves adults age 18 and older, with a special focus on internal medicine and obesity medicine.

— No. 01

Preventive & Wellness

Annual physicals, screenings, immunizations, women's and men's health, and personalized wellness planning — without copays or coding games.

— No. 02

Chronic Condition Management

Diabetes, hypertension, thyroid, cholesterol, asthma, and more — managed proactively with the time and continuity these conditions deserve.

— No. 03

Acute & Same-Day Care

Sick visits, infections, injuries, rashes, and the everyday "I just need to see someone today" — usually answered the same morning, often by text.

New service

Obesity Medicine

A dedicated, judgment-free approach to weight and metabolic health — including evidence-based medications (GLP-1s and others when appropriate), nutrition, and long-term lifestyle support from a physician trained in the field.

— No. 05

Mental & Behavioral Health

Anxiety, depression, and stress care from a physician who actually has time to listen — with referrals to vetted partners for specialized needs.

— No. 06

Care Coordination

When you need a specialist, imaging, or a hospital, we'll help you navigate it — finding the right partner, advocating on your behalf, and keeping the whole picture in view.

"What's not included? Hospital stays, specialists, and emergencies. We recommend pairing membership with a high-deductible plan or health share."

Ask a question
Dr. Andy Nakmanee
Meet your provider

Dr. Andy Nakmanee

DO · Board-Certified Internal Medicine

Dr. Andy founded Aphai Primary Care to practice the kind of medicine he's always believed in — unhurried, personal, and accountable to patients rather than insurance companies. He specializes in adult internal medicine and obesity medicine.

The name Aphai comes from the Thai word for forgiveness. A place where patients are met without judgment and given a true second chance to take charge of their health — whether that means rebuilding after a setback, breaking a long pattern, or simply starting fresh.

  • Medical School Alabama
  • Residency Internal Medicine — Harnett Health / Cape Fear Valley, NC
  • Certifications Board-Certified Internal Medicine
  • Focus Adult primary care & obesity medicine
Membership

One flat fee. No copays.
No surprises.

Choose the plan that fits your stage of life or your health focus. Cancel anytime — we'll never lock you in.

— Primary Care —

Young Adult
$40/mo

Ages 18–25

  • Unlimited office & virtual visits
  • Annual physical & preventive care
  • Same-day acute care
  • Direct physician access by text
  • Wholesale labs (often 80–90% off)
  • No copays, ever
Become a patient
Established Adult
$75/mo

Ages 36+

  • Everything in the Adult plan
  • Extended visits for complex care
  • Comprehensive chronic care management
  • Medication review & coordination
  • Specialist care coordination
Enroll today

— Obesity Medicine —

Obesity Medicine
$100/mo

Standalone obesity medicine membership

  • Comprehensive metabolic evaluation
  • Personalized weight-management plan
  • Evidence-based medications (incl. GLP-1s when appropriate)
  • Nutrition & lifestyle coaching
  • Ongoing follow-up & adjustment
  • Direct access between visits
Start your journey

Family & Group Plans

We offer discounted family pricing and tailored plans for small businesses who want to provide direct primary care as a benefit to their employees. Call or message us and we'll build a plan that fits.

Call for a group plan

A one-time enrollment fee may apply. Ask us for details.

Get in touch

Ready when you are.

Whether you're ready to enroll, curious about obesity medicine, or just want to learn more about how DPC works, we'd love to hear from you. Most inquiries get a personal reply within one business day.

Visit Randleman, NC
(full address coming soon)
Hours Mon–Fri · 8am–5pm
Members reach us anytime by text

We respect your privacy. Your information stays with us.