
24/7 Concierge Primary Care
The culture of medicine has changed very little in the last 100 years. It is still expensive, difficult to access, and nearly impossible to navigate. Even patients have been brainwashed into believing that they are virtually powerless… Dr. John Marshall Mullins, Founder
Get the Care You Need Exactly When You Need It
Marshall Lifestyle Medicine gives you a medical team you can reach. Members call a 24/7/365 Member Services Line, get priority scheduling for appointments when they're sick or ready for a proactive visit, and see their provider by telehealth from home or the road through Marshall Connect. When they come in, the appointment isn't rushed.
We start with advanced diagnostics. In a private practice, your provider already knows your history when you call, and your concierge care team runs all year instead of one provider, one appointment at a time.

What Is Concierge Medicine?
Concierge medicine is a membership-based model of primary care. Members pay a membership fee, and the practice keeps its patient panel small. That allows longer appointments, direct access to your care team, faster scheduling, and a focus on prevention. It's also called concierge healthcare, membership medicine, or private primary care.
The US healthcare system focuses on and profits off its approach to chronic disease management and reactive treatment of emergencies related to health neglect. Traditional primary care practices often manage thousands of patients, which means short visits and long waits. Concierge practices give up volume to make time.
What Does a Concierge Doctor Do?
A concierge doctor does everything a primary care physician does: sick visits, physicals, prescriptions, chronic condition management, and referrals. What changes is how it's done. With fewer patients, your doctor has time to go through your lab results with you, answer questions between visits, and plan around your goals as well as your symptoms. It's like having a private doctor, backed by a full care team. You see the same people each time, so nothing gets lost between appointments.
Concierge Primary Care, the Marshall Way
At Marshall, concierge primary care is the foundation of lifestyle medicine: preventing and managing chronic disease through nutrition, movement, sleep, stress, and the daily habits that shape how you age. We look at more than whether your labs fall inside a reference range. We want to know your family history, your energy, your goals, and what's changed since your last visit.
What 24/7 Care Actually Means at Marshall
At Marshall, 24/7 access means access to your full care team.
| 24/7/365 Member Services Line | 24/7/365 Prescription Concierge Line |
|---|---|
| Reach your care team at any hour, including nights, weekends, and holidays. | A dedicated line for prescription needs, handled by our Prescription Concierge. |

A Care Team That Revolves Around You
Your membership connects you to a team, not just one provider:
- A physician with longevity expertise
- A physician extender (APRN or PA-C)
- A Nurse Surveillance and Quality Coordinator
- An Executive Lifestyle Coach
- A Prescription Concierge
- A Medical Member Coordinator
- An Aesthetics Coordinator
Same-Day and Next-Day Appointments
Waking up with strep throat shouldn't mean a week of waiting or an afternoon in an urgent care lobby. When you're sick or hurt, we offer same-day appointments whenever possible, and ASAP when it isn't.
Telehealth for Busy Schedules and Travel
Not every concern needs an exam room. Telehealth covers follow-ups, medication questions, and many common illnesses from home, from the office, or from a hotel room. When your calendar is full or you're out of town, you still have your own doctor. Learn more about Marshall Connect.
Proactive Care, Not Just Sick Care
Most healthcare waits for something to go wrong. A traditional annual physical checks your vitals and a basic lab panel, then sends a letter saying everything looks normal. But normal isn't the same as optimal, and one snapshot a year can't show where your health is heading. (Read Why traditional annual physicals miss the mark)
At Marshall, membership begins with Advanced Diagnostics and an unhurried review of your results, history, and goals. Your provider then builds a 12-month plan and adjusts it when your numbers or your life change. The goal isn't to test everything. It's to catch what matters early and make decisions with good information.
24/7 access does not replace emergency care. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department.
What Your Care Team Handles
Concierge medicine is still primary care. Your Marshall team handles the everyday, the ongoing, and everything in between.
Everyday and Acute Care
Colds, flu, strep throat, respiratory infections, minor injuries, digestive problems, fatigue, and sleep trouble. If you need imaging, a specialist, or the emergency room, we'll tell you and help arrange it.
In-Office Procedures and Services
• Sports physicals
• Sutures and wound care
• Cyst and abscess care
• Toenail removal
• Skin tag removal
• X-ray interpretation
• Foreign body removal
Ongoing Conditions
Managing a chronic condition like high blood pressure, diabetes, high cholesterol, and thyroid conditions? These all respond better to regular monitoring, timely medication adjustments, and steady lifestyle support. When the same team follows your numbers over time, changes get noticed sooner.
For weight and metabolic health, your provider can bring in Marshall's medical weight management program.
Coordinating Your Care
When specialists get involved, your concierge care team keeps track of the whole picture: your medications, your results, and your referrals. We don't replace your specialists. We make sure your care stays connected.
"I started Marshall Lifestyle Medicine because I could no longer participate in a flawed and failing system. - Dr. John Marshall Mullins, Founder
The Apex Membership: Marshall’s Gold Standard Concierge Care
Apex is our gold standard concierge longevity membership. It includes 24/7 concierge primary care, advanced diagnostics, and your full care team. It also includes the rest of the Marshall system:
| Hormone Optimization | Weight Management | Executive Health Program | Regenerative Medicine | Sexual Health & Intimacy |
|---|---|---|---|---|
| Evaluation and treatment for hormonal changes that affect energy, sleep, mood, and body composition. | Physician-supervised metabolic care, including GLP-1 therapy when appropriate. | A dedicated health program for leaders and professionals. | Treatments for joints, recovery, hair, and more, available to members and non-members. | Private evaluation and treatment for men and women. |
- Precision medicine and advanced therapeutics including our own line of Marshall Nutraceuticals.
- Access to our Lifestyle Partners
- Marshall Connect: Marshall concierge care, delivered virtually for members anywhere in the country.
- Hero Membership: The same membership at an exclusive rate for veterans, active military, police officers, firefighters, ER nurses, paramedics, and teachers.
Not sure which membership fits? That's what the complimentary Meet & Greet is for.
Find a Concierge Doctor Near You
Marshall concierge primary care is available at practices across Kentucky, and anywhere in the country through Marshall Connect. In Lexington, members can choose from three practices (Beaumont, Hamburg, and Lexington Green), with a fourth opening in Chevy Chase.

Frequently Asked Questions
What is concierge primary care?
Concierge primary care is a membership-based model that gives you more access to your doctor: longer appointments, a personalized care plan, and a focus on prevention. Because the practice keeps a smaller patient list, each patient gets more time and attention.
How much does concierge medicine cost at Marshall?
It depends on which membership fits you. We go over pricing at your complimentary Meet & Greet, and flexible payment plans are available. We can guide you on how you may use HSA/FSA, flexible spending, and insurance as a part of your overall payment plan.
Is concierge primary care worth it?
For people who value access, time with their doctor, and a proactive plan, many find it is. The membership pays for a closer and more in-depth working relationship that continues between visits, not just the visits.
Does concierge medicine replace health insurance?
No. Concierge medicine is not health insurance. We encourage members to keep coverage for hospitalization, surgery, specialist care, and emergency services.
Can I reach my doctor after hours?
Yes. Members can call our 24/7/365 Member Services Line at any hour, and our Prescription Concierge Line handles prescription needs. For a medical emergency, call 911.
Do you offer same-day appointments and telehealth?
Yes. We offer same-day appointments whenever possible, next-day when not, and telehealth for follow-ups, medication questions, and many common illnesses.
Is concierge medicine the same as direct primary care?
The two overlap: both use a membership fee to give patients more access to their doctor. Practices define each model differently, so ask exactly what a plan includes. Marshall combines primary care with prevention, longevity, and advanced diagnostics under one membership.
Do you care for couples and families?
Yes. We care for individuals, families, and partners improving their health together.
Relentlessly pursuing innovation. Providing the highest level of personalized care. Helping you find your greatness to become the best version of yourself.

Start With a Conversation
Every Marshall membership begins with a complimentary, no-obligation Meet & Greet, in person or by video. Meet the team, tell us what you want from your healthcare, and decide whether Marshall is the right fit.
Prefer to talk first? Call (859) 554-8486

