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Direct Primary CareFamily Medicine

Island Lifestyle Medicine

Quick Facts

Membership Price Range$250/month or $3,000/year (Founding Member rate); 5% discount for semi-annual or full annual payment; discount for spouses and additional family members
Practice TypeDirect Primary Care
LocationFernandina Beach, Amelia Island
DoctorsDiana Twiggs MD, Family Medicine
Telehealth TypeVideo visits via HIPAA-compliant platform
HousecallsYes
Telehealth AvailableYes

About

At Island Lifestyle Medicine, Dr. Diana Twiggs delivers family medicine and lifestyle medicine from her independent practice in Fernandina Beach, FL. She has served families in this community for over 25 years. Her approach prioritizes root causes over reflexive prescriptions, building science-based health plans for each patient. The practice operates on a membership model at $250 per month. Members receive appointments averaging 52 minutes, same-day access for urgent concerns, and 24/7 direct phone or text access to Dr. Twiggs. Telehealth visits and house calls round out the access options. The membership covers in-office lab draws, chronic disease management, lifestyle medicine consultations, and an extensive health inventory. Dr. Twiggs also hosts Walk with a Doc, a free monthly community wellness event open to everyone in Fernandina Beach.

Details

Address

1890 S 14th Street, #305, Fernandina Beach, FL 32034

Membership

$250/monthly ($3,000/annual)

Membership Details

Introductory Founder Member rate: $250/month or $3,000/year. Paid Monthly, Quarterly, Semi-annually (5% discount), or Annually (5% discount). Discount available for spouses and other additional family members. No insurance billing.

Typical Appointment

52 minutes

Telemedicine House Calls Same-Day Appointments

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Frequently Asked Questions

Island Lifestyle Medicine currently offers a Founder Member rate of $250 per month or $3,000 per year. Members who pay semi-annually or annually receive a 5% discount. Discounts are also available for spouses and additional family members. The practice charges no hidden fees and sends no surprise bills.

Membership covers all medically necessary office visits, lifestyle medicine consultations, preventive health visits, chronic disease management, and an extensive health inventory. It also includes in-office lab draws and urinalysis, personalized wellness planning, shared group medical appointments, telehealth visits, and house calls when appropriate. Members also receive 24/7 direct phone and text access to Dr. Twiggs.

Island Lifestyle Medicine does not bill insurance for membership fees or office visits. Patients pay a flat monthly or annual membership fee directly to the practice. The practice does recommend that members maintain health insurance for specialist referrals, imaging, hospital care, and outside laboratory testing.

In-office lab draws and urinalysis are included in the membership. For labs ordered through outside facilities like Quest Diagnostics, patients can process those through their own insurance. The practice uses transparent pricing with no surprise costs.

Appointments typically run 52 minutes. The practice sets no arbitrary visit cap, so patients are seen as often as medically necessary. Same-day appointments are available for urgent concerns.

Yes. Members have 24/7 direct phone and text access to Dr. Twiggs. There are no phone trees or call centers to navigate. Calls and messages go directly to the practice.

Yes to both. Island Lifestyle Medicine offers telehealth visits through a HIPAA-compliant video platform for established members. House calls are available within reasonable proximity to the office for situations where an in-person visit is necessary but getting to the office is not practical.

Walk with a Doc is a free monthly community wellness event hosted by Dr. Twiggs. Each gathering starts with a 5-10 minute talk on a practical health topic, followed by a group walk. The event is open to everyone in the community, not just practice members. No membership is required to attend.

Yes. Patients who want to add a lifestyle medicine specialist to their existing healthcare team are welcome at Island Lifestyle Medicine. You do not need to transfer your primary care to Dr. Twiggs. The practice is happy to work alongside your current physician.

com. The practice also accepts inquiries through its contact form online. The office is located at 1890 S 14th Street, Suite 305, Fernandina Beach, FL 32034.

Practice last updated June 11, 2026