• West Chester, Ohio • Direct Primary Care
Where Lifestyle Medicine Meets Primary Care Built for You
AfyaGM Health & Wellness is a membership-based Direct Primary Care practice offering unhurried, relationship-centered care for individuals, families, and employers. No insurance barriers. No surprise bills.
New for 2026: HSA funds may now be used for Direct Primary Care memberships. Learn more →
Why choose AfyaGM ?
Healthcare the Way It Should Feel
Many people enter the healthcare system only after something goes wrong, and are met with rushed visits, fragmented care, and no real guidance. AfyaGM was built to offer something different.
⏱ Unhurried Appointments
Extended visits so you have time to talk about your health, not just your symptoms.
🤝 One Consistent Provider
Build a real relationship with a provider who knows your history, your goals, and your story.
💰 Transparent Pricing
Flat monthly membership. No copays, no surprise bills, no insurance complexity.
🌱 Prevention First
We address concerns early and build habits that protect your health for the long term.
Our Approach
Lifestyle Medicine is at the Heart of Everything
True health is built through daily choices, meaningful support, and care that addresses root causes, not just symptoms.
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Nutrition
Food is medicine. We help you understand how nutrition shapes metabolic health, energy, and long-term disease risk.
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Movement & Activity
Personalized activity guidance that supports cardiovascular health and builds strength at every stage of life.
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Sleep
Restorative sleep is foundational to immune function, metabolic health, and mental clarity. We take it seriously.
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Stress Management
Chronic stress drives inflammation and disease. Practical tools to build resilience and emotional balance.
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Positive Relationships
Social connection is a health pillar. Your relationship with your provider and community matters.
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Avoiding Risky Behaviors
Evidence-based, judgment-free guidance on reducing behaviors that accelerate chronic disease risk.
What We Offer
Comprehensive Care, One Cohesive Practice
From preventive primary care to weight management, hormone health, and employer services.
Core Service
Direct Primary Care
AfyaGM was built around one idea: primary care should be personal, proactive, and unhurried. One flat monthly fee. No insurance games. No surprise bills. Just real healthcare.
Membership Includes
- Extended, unhurried visits
- Same or next-day access
- In-person and virtual care
- One annual ECG included
- No copays or surprise bills
Weight & Metabolic
Medical Weight Management
Cardiometabolic risk reduction through our premium Vitality plan.
Hormone Health
Hormone Replacement Therapy
Evidence-based hormone therapy for perimenopause, andropause, and age-related hormonal changes.
Simple Pricing
Transparent Memberships, No Surprises
A $50 enrollment fee applies to all memberships. Save 10% with annual billing.
Individual
Direct Primary Care
$89/mo
+ $50 enrollment fee
- Unlimited primary care visits
- Same or next-day appointments
- In-person and virtual care
- Low cost laboratory pricing
- No copays or surprise bills
- Direct provider communication
Most Popular
Family
2 adults + 2 children (12–17)
$229/mo
+ $50 enrollment fee
- Everything in Individual for your family
- Includes 2 adults + 2 children (12–17)
- Additional children +$30/mo
- Additional adults +$49/mo
- One consistent provider for all
Couples
Direct Primary Care
$159/mo
+ $50 enrollment fee
- Everything in Individual for two
- Same or next-day access for both
- In-person and virtual care
- Low cost laboratory pricing
- No copays or surprise bills
- One provider who knows you both
Also available: Balance+DPC ($239/mo) and Vitality+DPC ($289/mo). View full pricing →
PhD • MSN • FNP-C
25+ Years in Healthcare
Meet Dr. Tomi Small
Care Built from Loss. Delivered with Purpose.
Dr. Tamara "Tomi" Small founded AfyaGM after watching her mother, Gina Marie, lose her battle with a chronic condition that could have been better managed with time, education, and consistent care.
"That truth became my purpose — to create a model of care that restores time, trust, and human connection."
Family Nurse Practitioner
PhD, Occupational Safety
NIOSH Council Member
Mental Health First Aid Instructor
Published Researcher
Licensed OH, AZ, MN, WA
For Employers
Support Your Team Without Breaking Your Budget
AfyaGM partners with small businesses to provide accessible healthcare for your employees — predictable costs, no insurance complexity, and a local provider who shows up.
Predictable Monthly Cost
Flat-rate pricing you can budget for every month
Reduced Absenteeism
Healthier employees with access to care show up more
DOT Physicals
Fast, affordable DOT-certified physicals for drivers
Mental Health First Aid
Certified training for a mentally healthy workplace
TB Testing & Screening
Compliance-ready occupational health screening
Worksite Risk Assessments
Specialized for the home healthcare industry
Discover AfyaGM Health & Wellness
Where your health is our purpose. Take the first step toward care that is proactive, personal, and built around you.
