Direct Primary Care for the Sovereign Patient

Internal Medicine without the system.

I'm Dr. Christian Smith. For 20 years I've practiced medicine—including at Walter Reed Army Medical Center—and watched the healthcare system drift further from the patient. I started Premier Direct Primary Care to reverse that.

Here, you don't battle insurance portals or wonder who read your chart. You pay me directly. You reach me directly. And if you want to pay in Bitcoin or keep our conversations off commercial servers, we can do that too.

Membership means access, not appointments.

Same-day visits when you're sick. Proton-secured messaging when you have questions. Time to actually investigate root causes instead of writing prescriptions to manage symptoms.

I cap membership to keep the care personal. If you're looking for a traditional clinic with a waiting room full of strangers, this isn't it.