Direct Primary Care in Charleston,
Built Around You
A physician who actually knows you — $0 member visits, real time with your physician, and a yearly Total Health Review.No insurance. No Medicaid. Just real care.
What Is Primary Care at Holy City Med?
Primary care is the ongoing relationship — the physician who knows your history, manages the long-term things, and catches what is coming before it becomes urgent. It is the opposite of starting over with a stranger every time you are unwell.
At Holy City Med it runs on a flat monthly membership instead of insurance. Members pay $0 member visits, from $85/mo. Non-members pay a flat $120 per visit, exam included.
- The same small team every visit
- Annual physicals and screenings
- Chronic condition management
- Primary Care and Med Management
- Preventive labs and diagnostic testing
- A yearly Total Health Review
Primary care and urgent care, one team.
Walk in sick today and see the same practice that manages your labs, your blood pressure and your yearly review. No handoffs, no starting again with a stranger.
The Case for Direct Primary Care in Charleston
No insurance middleman. Just a physician with the time to actually care for you.
No Insurance Needed
Flat monthly membership - no claims, no denials, no surprise bills. Medicaid and Medicare not required.
$0 Member Visits
Members pay $0 member visits - primary care, urgent care, mental health and more, all included.
Time When It Matters
Real appointments with a provider who listens - not a rushed visit on the insurance clock.
A Real Relationship
A small, consistent team that knows your history and keeps you well year after year.
What Your Primary Care Covers
From everyday illness to lifelong conditions — one team, one relationship, all in Charleston. Patients 6 months and older are welcome.
Chronic Condition Management
- Diabetes & pre-diabetes
- High blood pressure (hypertension)
- High cholesterol
- Asthma & COPD
- Thyroid disease
- Sleep apnea
- Irritable bowel syndrome (IBS)
Everyday & Acute Illness
- Strep, flu & bronchitis
- COVID-19
- Skin infections & rashes
- Ear infections & pink eye
- Migraines & nausea
- UTIs & minor infections
Preventive & Wellness
- Annual wellness exams
- Preventive health screenings
- Cholesterol management
- Allergy care
- Tobacco cessation
- Sports physicals
Primary Care and Med Management
- Annual physicals
- Men’s health
- Women’s health
- Contraception
- STD/STI screening & treatment
Mental & Behavioral Health
- Anxiety & depression
- PTSD
- ADHD
- Adjustment disorders & grief
- Sleep concerns
Aches, Injuries & More
- Joint pain
- Sprains & strains
- Minor injuries
- Heartburn & insomnia
- Hair loss
- Pre-surgery clearance
Need a specialist? We coordinate referrals across a trusted network of 25+ Charleston specialties — sharing your records and helping you understand next steps.
This is a real clinical facility — not just a GP office.
On-site diagnostics and equipment to handle most conditions in one visit — no sending you elsewhere.
10 Private Exam Rooms
Ten rooms at every location — more privacy and shorter waits.
On-Site X-Ray & EKG
Imaging and heart tracing right here — no referral out.
In-House Labs and Diagnostic Testing
CBC, glucose, A1c, lipid panel and more, drawn on-site.
Rapid Testing
Strep, flu, COVID and more — results while you wait.
IV Fluids & Injections
Hydration, wound care, and in-clinic medications.
Drive-Thru Testing
Flu, strep, and COVID without leaving your car.
On-Site Prescriptions
Written and started before you leave the clinic.
Telehealth for Members
Virtual visits for members when you can't come in.
How We Manage Chronic Conditions
A condition like diabetes or high blood pressure needs more than a one-time visit. Here’s how your care actually works — $0 for members, every step.
A Comprehensive First Visit
We look at your whole picture — labs, lifestyle, symptoms, and goals — to set a real baseline, not just treat a number.
Follow-Ups Every 3–6 Months
We check in on a schedule that fits your condition — in person or by telehealth — with more frequent visits while we’re adjusting medication.
Monitoring That Fits You
Diabetes: A1c & glucose. Cholesterol: lipid panels. Blood pressure: home tracking plus kidney-function labs — adjusted to how you’re feeling, not just the chart.
Holy City Med is your primary care home — not just a walk-in.
Most people find us when they’re sick and need to be seen today. The real value is everything after: a physician who knows you, keeps you well, and catches problems early — all with $0 member visits.
Every new member gets a Total Health Review — a thorough, whole-person look at your health that sets your baseline for the year ahead.
- Full history and lifestyle review
- Preventive labs
- Diagnostic testing
- Risk screening for your age
- Family history review
- Plan for the year ahead
Membership or Walk-In. No Insurance Needed.
Members pay $0 member visits. Not a member? Walk in and pay a simple, upfront price. We don’t take insurance or Medicaid — ever.
Diagnostic and imaging + labs bundles are free for members, $50 per bundle for non-members (X-ray, EKG, in-house labs, rapid tests).
2 Charleston Locations
Walk into either location for same-day primary and urgent care.
Serving members across West Ashley, North Charleston, Mount Pleasant, James Island, Summerville, Goose Creek, Park Circle, Johns Island, and the greater Lowcountry.
North Charleston
5479 N. Rhett Avenue
North Charleston, SC 29406
Mon–Fri 8AM–8PM
Sat 8AM–5PM
West Ashley
2039 Savannah Highway
Charleston, SC 29407
Mon–Fri 8AM–8PM
Sat 8AM–5PM
Trusted Direct Primary Care in Charleston
What Our Patients Are Saying
Real reviews from real Holy City Med patients on Google.
“Highly recommend. My husband was extremely pleased with the care he received today. He was taken back right away. He felt he was heard (so often doctors don’t even bother to listen), and those who cared for him were kind, caring, and knowledgeable.”
“From intake to walking out I had a very professional, easy and meaningful experience today. Am very glad I am one of their subscription members! Highly recommend if you have need for Primary Care or Urgent Care.”
“I’ve started seeing Brian Elston since becoming a member, and I am very pleased with his service. He is very compassionate and doesn’t rush you, listens to what you have to say and answers any questions or concerns that you have. That’s hard to find in today’s medical field.”
You do not have to join to be seen.
Come in as a one-off for $120 and decide about membership afterwards. Plenty of people try us once, then join because the visit made the case.
Frequently Asked Questions
Everything you need to know about membership-based care at Holy City Med.
Not sure we’re the right fit?
Ask us. We would rather answer honestly than sign up someone we cannot help.
Primary care that actually knows you.
$0 member visits.
Unlimited visits, one flat monthly price.