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Direct Primary Care
Family Medicine

Union Direct Primary Care LLC

Quick Facts

Membership Price RangeAges 0-19: $30/mo | Ages 20-64: $60/mo | Ages 65+: $100/mo | Maximum family: $200/mo | One-time enrollment fee: $75
Practice TypeDirect Primary Care
LocationLake Butler, Starke, Union County, Bradford County
DoctorsTodd Fife MD, Family Medicine
Year Founded2022
Telehealth TypeTelehealth (webcam, phone call, or email)
Telehealth AvailableYes

About

At Union Direct Primary Care LLC, Dr. Todd Fife delivers full-spectrum family medicine across two locations in Lake Butler and Starke, Florida. The practice opened in 2022 under the leadership of Jamie Parrish APRN, FNP-C, who founded it to bring personal, relationship-driven primary care to rural North Florida. Dr. Fife brings over 20 years of family medicine experience to his patients. The team handles 80 to 90 percent of healthcare needs directly in the office.

Monthly membership fees cover unlimited primary care visits for patients of all ages. The practice serves individuals and families, with fees starting at $30 per month for children and capping at $200 per month for families. Providers respond to texts, emails, and phone calls the same day. The practice dispenses prescriptions on-site at reduced cost and arranges discounted off-site imaging and lab services. md platform or by downloading the enrollment form on the practice website.

Details

Address

15995 W SR 238, Lake Butler, FL 32054

Membership

$60/monthly

Membership Details

Monthly membership fee covers unlimited primary care visits. Ages 0-19: $30/mo, Ages 20-64: $60/mo, Ages 65+: $100/mo, Maximum family cap: $200/mo. One-time enrollment fee of $75. Most services included with membership; upfront pricing for additional costs.

Telemedicine
Same-Day Appointments

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Frequently Asked Questions

Monthly membership fees at Union Direct Primary Care depend on age. Patients ages 0 to 19 pay $30 per month, adults ages 20 to 64 pay $60 per month, and patients 65 and older pay $100 per month. Families pay no more than $200 per month regardless of size. A one-time enrollment fee of $75 applies when joining.

The monthly membership covers unlimited primary care visits at no additional charge per visit. Most services the practice provides fall under the membership fee. For services with additional costs, Union Direct Primary Care provides upfront pricing so patients know what to expect before any service.

No, Union Direct Primary Care does not bill insurance or process insurance claims. Patients pay the monthly membership fee directly to the practice. The model works well for uninsured patients and those who want to use insurance only for specialist care or hospitalization.

md platform linked on the practice website, or download the patient enrollment form directly from the site. The practice has two locations, one in Lake Butler and one in Starke, Florida. Staff can answer enrollment questions by phone at either office.

Yes, Union Direct Primary Care offers same-day appointments. Providers also handle many sick visits via telehealth, so patients often resolve concerns without making the trip to the office. The practice responds to patient texts, emails, and phone calls the same day.

Yes, the practice offers telehealth visits. Providers frequently handle sick visits by phone, video, or email exchange when an in-person visit is not necessary. This flexibility saves patients time while keeping care accessible.

Union Direct Primary Care handles a wide range of in-office procedures. These include laceration repair, skin tag and wart removal, joint injections, cryotherapy, ingrown nail repair, abscess drainage, Pap smears, EKGs, nebulizer treatments, and splinting for sprains and minor fractures, among others. Handling these in-house reduces the need for urgent care or specialist visits.

Yes, the practice dispenses many common prescriptions on-site at reduced cost. These include antibiotics, blood pressure medications, and diabetes medications. The practice also arranges discounted medical imaging and lab services off-site for tests that cannot be performed in the office.

Yes, Union Direct Primary Care offers DOT physicals at both the Lake Butler and Starke locations. Patients should call the relevant office directly for appointment scheduling and pricing details.

The practice operates two offices in North Central Florida.

Practice last updated April 11, 2026