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Direct Primary CareEndocrinology

Tennessee Direct Endocrinology

Quick Facts

Membership Price RangeWellness Membership: $125/month (after $125 one-time enrollment fee) | Premium Membership: $175/month (after $125 one-time enrollment fee) | One-time Consultation: $395
Practice TypeDirect Primary Care
LocationKnoxville, Blount County, Alcoa, Sevier County, Loudon County, Knox County, East Tennessee, West Knoxville
DoctorsSarah Smith MD, Endocrinology
Year Founded2022
Telehealth TypeVideo visits and phone calls
HousecallsYes
Telehealth AvailableYes

About

At Tennessee Direct Endocrinology, Dr. Sarah Smith delivers specialized endocrine care through a direct care membership model. She opened the Knoxville practice on March 28, 2022, bringing more than seven years of East Tennessee patient relationships into a new framework. The practice holds distinction as the first and only Lifestyle Management Center for Diabetes and metabolic disease in East Tennessee.

Dr. Smith focuses on root cause identification across a wide range of endocrine conditions. Her clinical scope covers thyroid disorders, diabetes, PCOS, hormone therapy, weight management, bone health, and pituitary and adrenal disorders. She partners with LabCorp for wholesale pricing on over 2,000 diagnostic tests and works with regional imaging providers to secure deeply discounted scans for her patients. Members receive direct text and email access to Dr. Smith, same-day or next-day appointments, and telehealth options outside of standard office hours. The practice uses CARIUM for real-time glucose, blood pressure, and activity monitoring, and offers InBody advanced body composition analysis on-site.

Details

Membership

$125/monthly

Membership Details

Two membership tiers: Wellness Membership at $125/month and Premium Membership at $175/month, both after a $125 one-time non-refundable enrollment fee. New patient booking fee of $150 applied to first visit or membership. One-time consultation option at $395 includes 60-90 minute initial visit and 1 follow-up visit. Re-enrollment fee of $125 if membership cancelled and restarted. Endocrine Education at $300/hour. Corporate Health pricing personalized.

Typical Appointment

60 minutes

Telemedicine House Calls Same-Day Appointments

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Frequently Asked Questions

Tennessee Direct Endocrinology offers two membership tiers. The Wellness Membership runs $125 per month and the Premium Membership runs $175 per month. Both require a one-time, non-refundable enrollment fee of $125. New patients also pay a $150 booking fee, which applies toward their first visit or membership. The practice also offers a one-time consultation option at $395, which covers a 60 to 90 minute initial visit and one follow-up visit.

No. Tennessee Direct Endocrinology does not accept any insurance, including Medicare, Medicaid, or commercial plans such as BCBS, UHC, Cigna, Anthem, and Aetna. Patients pay directly through their membership or visit fee. This structure allows the practice to offer transparent pricing, broad lab and diagnostic access, and care decisions free from insurance coding restrictions.

Members receive direct text and email access to Dr. Smith, same-day or next-day appointment availability, telehealth visits by video or phone including outside of office hours, wholesale pricing on over 2,000 diagnostic tests through LabCorp, discounted imaging through regional partners, and access to the physician-selected supplement catalog with an additional member discount. Premium members receive semi-annual lifestyle medicine visits, monthly visit options, and up to eight phone check-ins per year.

Appointments average 60 minutes, with initial visits running 60 to 90 minutes. Average wait room time runs under two minutes. Members receive priority scheduling with same-day or next-day availability for urgent needs.

Yes. Tennessee Direct Endocrinology offers video and phone telehealth visits, including outside of regular office hours. Members can connect with Dr. Smith directly when their health status changes between scheduled appointments.

Yes. Dr. Smith offers house calls for patients who need them. She also travels to employer locations to provide corporate health services, including on-site physician visits for organizations.

Yes. Tennessee Direct Endocrinology partners with LabCorp and offers wholesale pricing on more than 2,000 diagnostic tests. In-office labs are also available. For imaging, the practice works with regional partners to provide significantly discounted MRIs, CT scans, ultrasounds, and X-rays. For example, an MRI that typically costs around $3,000 may run approximately $450 through these partnerships.

Yes. Dr. Smith works with businesses to design customized wellness programs. Corporate health options include on-site physician visits, group educational courses, and individual employee care. Pricing for corporate health services is personalized based on organizational needs.

Tennessee Direct Endocrinology offers Endocrine Education at $300 per hour. This service provides in-depth educational time with Dr. Smith focused on understanding endocrine conditions, treatment options, and metabolic health strategies.

New patients pay a $150 booking fee when scheduling, which applies toward their first visit or membership enrollment. The practice maintains a limited panel to preserve accessibility for members. Prospective patients can contact the practice directly to check availability and discuss which membership tier fits their needs.

Practice last updated August 17, 2026