Primary Care & Obesity Medicine

Your doctor. Your direct line. One simple monthly price.

Aphai is a membership-based primary care clinic. Pay one flat monthly fee for longer visits, direct access, sick visits, chronic care, and a doctor who actually knows you — no copays, no surprise primary care bills, no insurance paperwork.

Keep your insurance for emergencies, hospital care, specialists, surgery, and prescriptions. Use Aphai for your everyday primary care.

Board-Certified Internal Medicine Your Doctor's Direct Line Same- or Next-Day Visits Unhurried 30–60 Min Visits
How it works

What is Direct Primary Care?

Think of it like a membership to your personal doctor — not another insurance plan.

With Direct Primary Care, you pay Aphai directly each month for your primary care. Your membership covers routine visits, sick visits, chronic condition management, texting, video visits, and longer appointments with your doctor. There are no copays, no surprise primary care bills, and no insurance paperwork for visits with us.

Your membership is not health insurance. You should still keep insurance for emergencies, hospital stays, specialists, surgery, imaging, and prescriptions.

What we offer

Comprehensive adult primary care, without the runaround.

Aphai serves adults age 18 and older, with a special focus on internal medicine and obesity medicine. Primary care runs on one simple monthly membership — no insurance, no copays. Obesity medicine runs as a separate, cash-pay clinic with simple flat fees.

— No. 01

Preventive & Wellness

Annual physicals, screenings, immunizations, women's and men's health, and personalized wellness planning — all part of your membership, with no copay at the visit.

— 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 Care

Sick visits, infections, injuries, rashes, and the everyday "I just need to see someone today" — same- or next-day visits when available; urgent needs prioritized.

— No. 04

Obesity Medicine

A dedicated, judgment-free approach to weight and metabolic health — including GLP-1s and other evidence-based medications when appropriate, nutrition, and long-term lifestyle support from a physician trained in the field. Cash-pay: $75 first visit, $50 follow-ups.

— No. 05

Mental & Behavioral Health

Anxiety, depression, and stress care from a physician who takes the 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 we don't handle in-house: hospital stays, specialists, and emergencies. For those, we'll refer you to the right partner and stay involved in coordinating your care. Imaging and prescription medications are filled at the facility or pharmacy of your choice.

Ask a question

A second chance at health — with a doctor who actually knows you.

Pricing

Honest pricing.
No surprises.

Primary care runs on one flat monthly membership — no insurance, no copays, no surprise bills. Obesity medicine is a separate, cash-pay clinic with simple, flat fees.

Primary Care Membership
$55/mo & up

Flat monthly fee by age — billed monthly, cancel anytime.

  • Adults 18–35 — $55/mo
  • Adults 36–64 — $75/mo
  • Age 65+ — $85/mo
  • Whole family — capped at $199/mo
  • Unlimited visits, plus texting & video visits included
  • Labs at deeply discounted LabCorp rates
  • Small business (10+ employees): $60/employee/mo
Become a member

No copays. No surprise bills. No insurance paperwork — just one simple monthly membership you can cancel anytime. Small business plans available for teams of 10+.

About us

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.

Meet your provider

Dr. Andy Nakmanee

DO · Board-Certified Internal Medicine

Dr. Andy founded Aphai Primary Care to bring back something simple: a clinic where patients are people, not appointment slots. The practice pairs membership-based Direct Primary Care with a focused, cash-pay obesity medicine clinic — two services built on a single philosophy of unhurried, judgment-free care.

The name Aphai comes from the Thai word for forgiveness. It reflects the practice's core belief: that every patient deserves to be 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.

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

Frequently Asked Questions

How does Aphai work?

Aphai is two practices under one roof. Adult primary care — physicals, sick visits, chronic condition management, plus unlimited texting and video visits — runs on a simple monthly membership, with no copays and no insurance billing. Obesity medicine runs as a separate, cash-pay clinic with simple flat fees: $75 for the initial consultation and $50 for every follow-up visit.

Do I still need health insurance?

We recommend keeping insurance for what happens outside our walls — hospital stays, surgery, specialists, emergencies, and prescriptions. Your Aphai membership covers your primary care directly, so you won't use insurance for visits with us. Many members pair our membership with a lower-cost, higher-deductible plan.

How much will a primary care visit cost?

Your monthly membership covers your visits — no copay, no per-visit charge, no surprise bill. You'll always know exactly what you pay: your flat monthly fee. Labs, imaging, and outside medications are billed separately, always at the discounted rates we've negotiated (labs run through LabCorp at deeply reduced pricing).

Why is obesity medicine priced separately?

Obesity medicine isn't part of the monthly membership — it's a focused clinic with its own simple, flat fees: $75 for the initial visit and $50 for every follow-up. That keeps comprehensive metabolic care — including GLP-1 medications when appropriate — straightforward and affordable, with no gatekeeping.

Are weight-loss medications included in the obesity medicine visit fee?

Your visit fee covers the medical care — evaluation, prescribing, monitoring, lifestyle counseling, and follow-up. The medications themselves (including GLP-1s like semaglutide and tirzepatide) are filled and paid for separately at the pharmacy of your choice. We'll help you find the most affordable path, whether that's a manufacturer savings program, a discounted cash price, or compounded options when appropriate.

I have Medicare — can I join?

Yes. Because we don't bill insurance, Medicare members simply pay the monthly membership like everyone else. Medicare can still cover labs, imaging, hospital care, and prescriptions ordered outside our office.

How do I schedule a visit?

Call our office, send us an email, or use the contact form below. New patients will receive a brief intake form to complete before the first visit.

How do medications work?

Prescriptions are sent electronically to the pharmacy of your choice. We'll always discuss cost openly and help you find the most affordable option — including discounted cash prices and manufacturer savings programs.

Are vaccines and immunizations available?

For routine vaccines we don't stock in-house, we'll review what you need and point you to the most affordable option — usually a local pharmacy (Walgreens, CVS) or the county health department, where most vaccines are inexpensive.

Get in touch

Ready when you are.

Whether you're booking your first visit, curious about how membership works, or have a question about obesity medicine, we'd love to hear from you. Most inquiries get a personal reply within one business day.

Visit (full address coming soon)
Hours Wed–Fri · 11am–8pm
Sat–Sun · 8am–2pm
Closed Monday & Tuesday

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