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Direct Primary Care
Family Medicine

Fiat Family Medicine

Quick Facts

Membership Price Range$150/month Individual (All Ages) | $275/month Couple | $100/month Additional Children Age 0-18 | $125/month Additional Adults (Ages 18-26). Annual and semi-annual discounts available during registration.
Practice TypeDirect Primary Care
LocationCarmel, Central Indiana, Indianapolis
DoctorsHolly Smith MD, CFCMC, Family Medicine
Year Founded2022
Panel Size500 patients per doctor
Telehealth TypeSecure messaging, video chat, and text via Spruce app
Telehealth AvailableYes

About

At Fiat Family Medicine in Carmel, Indiana, Dr. Holly Smith delivers whole-person primary care rooted in Catholic faith and an abiding commitment to patient relationships. The practice name itself reflects that foundation: "fiat" is Latin for "let it be done," drawn from scripture and the mission Dr. Smith describes as led by the Holy Spirit. She and her husband Eric co-founded the practice in 2022. Eric Smith joined officially as Business Manager in 2023.

Dr. Smith caps her panel at 500 patients, keeping appointments unhurried at 30 to 60 minutes each. The practice serves entire families from birth through old age. Clinical strengths include restorative reproductive medicine, fertility awareness, natural family planning, women's health, mental health, and addiction treatment. Fiat Family Medicine holds a leading position in Central Indiana for FEMM and Creighton Model care and NaProTechnology consultation. Members pay a flat monthly fee of $150 with no co-pays or admin fees. Routine annual blood work is included, and members receive a 15% discount on medical aesthetics services. The practice also offers an employer benefit program for companies of any size.

Details

Address

13590-B North Meridian Street, Suite 201, Carmel, IN 46032

Membership

$150/monthly

Membership Details

Monthly membership subscription. No co-pays or admin fees. Annual and semi-annual billing discounts available. Routine annual blood work included in membership fee. Members receive 15% discount on medical aesthetics services.

Typical Appointment

45 minutes

Telemedicine
Same-Day Appointments
Max 500 patients per doctor

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Frequently Asked Questions

Membership at Fiat Family Medicine costs $150 per month. The fee covers all primary care visits with no co-pays and no administrative fees. The practice also offers discounted annual and semi-annual billing options. Routine annual blood work is included in the membership, and members receive a 15% discount on medical aesthetics services.

Yes. Fiat Family Medicine offers same-day and next-day appointments for its members. Appointments run 30 to 60 minutes, giving Dr. Smith sufficient time with each patient. The practice also provides after-hours access for urgent needs through the Spruce secure messaging and telehealth platform.

Fiat Family Medicine operates on a direct primary care model and does not bill insurance for membership or visits. Members pay a flat monthly fee directly to the practice. However, members can still use their insurance for specialist referrals, hospitalizations, and prescriptions. The practice partners with labs, imaging centers, and a prescription wholesaler to offer deeply discounted cash-based pricing.

Members contact Dr. Smith after hours through the Spruce secure messaging and telehealth app. Spruce supports text messaging, phone calls, and video visits. This direct access means members do not need to wait for the next business day to address urgent concerns.

Yes. The practice offers telehealth through the Spruce platform. Members download the Spruce app to connect with Dr. Smith via text or video from wherever they are. Virtual care carries no extra cost for members.

Membership includes unlimited primary care visits with no co-pays, routine annual blood work, discounted labs and generic medications, after-hours access via Spruce, and a 15% discount on medical aesthetics services. The practice also offers onsite labs, minor skin procedures, joint injections, and telehealth at no additional charge to members.

Yes. Fiat Family Medicine runs an employer benefit program for companies of all sizes. Employers can offer their teams direct access to Dr. Smith as a workplace benefit. The program covers the full range of primary care services, including same-day visits, virtual care, and mental health management.

Fiat Family Medicine offers a comprehensive range of restorative reproductive medicine services. Dr. Smith provides FEMM and Creighton Model medical consultations, NaProTechnology medical consultation, preconception counseling, breastfeeding support, and postpartum depression care. The practice also offers pelvic and vaginal rejuvenation treatments using InMode Empower technology, including VTone, FormaV, and Morpheus8V.

Yes. Fiat Family Medicine limits its panel to 500 patients. That limit allows Dr. Smith to keep appointments unhurried, maintain direct relationships with every member, and provide same-day or next-day availability consistently.

Yes. Fiat Family Medicine operates from a Catholic faith foundation. The practice name draws from the Latin word for "let it be done," reflecting the mission Dr. Smith describes as led by the Holy Spirit. The staff prays for patients, and the practice follows the Ethical and Religious Directives for Catholic Healthcare. Patients of all backgrounds are welcome.

Practice last updated April 11, 2026