FAQs

Yes, we do! (Almost) All patients need to have a face to face intake visit to establish care, but we can provide telehealth follow up care after that. We are licensed in North Carolina and South Carolina.

We see patients in office at our main location in downtown Greenville, SC and by telehealth. Our address is 1068 N Church St Suite 102. We provide evening and weekend hours.

We specialize in comprehensive care for young people from birth to age 30. We can also treat patients over age 30 (the young at heart) with more focused treatments and services.

We are not In-Network with health insurance companies. That means that we don’t have an internal claims department and that we are a small organization. The current insurance system works fine for people with common health problems needing 10-minute visits. Tackling challenging conditions with the thoroughness and comprehensive care that our patients want is not a priority of the health insurance system, and being In-Network makes it nearly impossible. We work with you—not your insurance.

We can supply you with a Superbill that describes our service in the codes that insurance companies understand. You can easily submit that to your insurance company for reimbursement through our website. We can also submit it electronically for you for a nominal fee during our visit, or you can submit it through your insurance portal.

We provide a complimentary service to check your insurance company's out-of-network benefits and help you understand what they mean. Use the blue arrow here. Just contact us with the information, and we’ll be happy to help.

We are a small group focused on the care delivering high-quality care. We don’t publish our rates online because they are reviewed and potentially changed a couple times per year to prioritize our current patient panel. When you join as a new patient, the rates at that time will become your fee schedule for at least 12 months.

We are happy to provide our current rates on request. Just contact us to learn more.

Yes, we prescribe medications. These medicines are wide-ranging and can’t all be listed here.

Our goal is to help someone feel better and do more. If our medications result in serious side effects or addictive problems, then we haven’t fulfilled our mission. So we largely avoid narcotic type treatments. We weigh the risks and benefits of every treatment we offer.

As a general rule, no. We do specialize in the exceptions to the rule, so no answer is definite. But the answer here is no with rare exceptions. We treat young people, and we take that responsibility and their future very seriously.

If you are seeking an evaluation with us and think that a narcotic prescription is in your best interest, we encourage you to look elsewhere because that is not what we do.

Yes, we are able to perform procedures. We think of it as targeted drug-delivery. Pills are swallowed and absorbed in the stomach or intestines, and flow into your bloodstream (and then go everywhere in your body) before getting to the correct place.

We think of procedures as delivering the medication directly into the target tissue. This includes local anesthetics, anti-inflammatories, pro-inflammatories, and botulinums (Botox and Xeomin). We also provide non-medication neurmodulation treatments.

Botulinums or Neuromodulators are a term used to describe Botox, Xeomin, Dysport, and others. Our practice uses Botox and Xeomin. Neuromodulators work on the nervous system to reduce nerve activity. It’s most commonly thought of for its cosmetic properties to weaken muscles that tighten up with age and cause wrinkles. At the same time, it also reduces the activity of sensory nerves into the nervous system (like in migraine and TMJ disorders) and can reduce autonomic activity too (like hyper-sweating and hyper-salivation).

Learn more on our Neuromodulator page.

We specialize mainly in the medical, or therapeutic, use of Botox and Xeomin. This means we treat Migraines, TMJ, cervical dystonia, spasticity, myofascial pain, hyperhidrosis, and more. We are certified and very skilled in cosmetic treatment and can do that as well.

Botox and Xeomin can be used for two main reasons: Therapeutic (or medical) indications or Cosmetic (or aesthetic).

Therapeutic Botox is used for chronic migraine, TMJ disorder, dystonia, spasticity, persistent myofascial trigger points, hyperhidrosis (excessive sweating), and more.

We specialize in therapeutic (or medical use) of these agents but are very comfortable with cosmetic uses as well.

Yes! The most important thing for your mom to know is that neuromodulator (like Botox) is an effective treatment for wrinkles, but not all cosmetic problems can be fixed with neuromodulators.

We’ll be happy to give a consultation and advice, but we don’t perform other aesthetic procedures.

Learn more on our Neuromodulators page.

It depends on the use. See our Procedure page for more details. The long and short of it is that out-of-pocket use of neuromodulation for cosmetic or non-covered use is fairly straightforward. Using insurance benefits makes it complicated quickly.

Because of the price of neuromodulation, we do work with insurance companies to provide coverage for certain conditions, however we are out of network and payment is due on day of service. Check out our Neuromodulation page for more details.

It’s impossible to list them all. Check here for some common conditions. One of the common themes is to tackle the gaps in the health care system. If it seems like all the tests are coming up normal, and your current health care team is coming up empty without good solutions for you, then we may be able to help.

We “integrate” many treatments across specialties and disciplines, and we provide evidence-informed treatments including vitamins, supplements, and non-Western treatments.

But we view ourselves as a traditional medical practice. Our background is from the highest levels of academic medicine.

We just think of ourselves as open-minded, well-informed, and highly invested in helping you feel better.

Yes. We practice “Evidence-Informed Care.” This means that we always analyze scientific evidence and use that research to guide our care. By the nature of the complex disorders we treat, there might not be a major systematic review or national guideline to make “Evidence-based treatments.”

Our guiding principles are to use the most effective and safest treatments first. Outside of that category, treatments decisions are made together based on an individual balancing of risks and benefits to various treatments.