Purposely Evolving Medical Clinic

About Purposely Evolving Medical Clinic

What is Purposely Evolving Medical Clinic?

Purposely Evolving Medical Clinic is a primary care practice at 1810 S Pinellas Ave Suite B in Tarpon Springs, Florida. The clinic describes itself as a nurse practitioner owned and operated practice that specializes in hormone replacement therapy and weight loss management. It is a member of Privia Provider Network in Central Florida. Dominique Paschal, APRN, FNP-C, is the co-founder, owner and family nurse practitioner, and she is the only person the clinic names as a prescriber. She lists a master's degree in nursing from the University of Tampa. Marcus Paschal is also listed as a co-founder and owner, with no credential given.

The weight loss program is medication assisted and uses GLP-1 injections and oral appetite suppressants. The medications it names are GLP-1, phentermine, Qysmia (phentermine with topiramate), phendimetrazine and Contrave (bupropion with naltrexone). Hormone therapy is offered to men and women, including testosterone, estrogen, progesterone and thyroid optimization when needed. The clinic also offers B12 and MIC injections, IV hydration drips, and in-house labs and EKG. Visits happen in Tarpon Springs or by telehealth across all of Florida and in Iowa. Hours are Monday to Thursday, 8:00 AM to 5:00 PM, closed Friday through Sunday. It has a 4.8 rating from 82 Google reviews.

What does it cost?

The first weight loss visit is $125 in total. That covers the provider evaluation, a full blood panel listed at $100, body composition and measurements, and a nutrition consult. In its own words: "No Payment until you start the program and or medications."

The clinic does not publish prices for weight loss medication. It says injection prices vary and to call the office. It does not publish hormone therapy prices or a membership fee amount, and it does not say whether medication is included in any price. Injections are listed per shot: B12 at $15, Lipo-B12 at $20 and MIC at $25. IV drips are listed at $100 or $125 each. It accepts cash, debit and credit cards, FSA, HSA, payment plans and Care credit. It accepts insurance for primary care only and offers self-pay membership and cash services. It does not state commitment or cancellation terms.

What should you ask before you book?

Who writes each prescription? Dominique Paschal is the only prescriber named, and the clinic names no one else for weight loss or hormone visits. Ask whether she prescribes at every visit. Ask whether a monthly or membership fee includes the medication or bills it separately. Ask whether the drug is brand-name or compounded, and which pharmacy fills it.

What do follow-up visits and lab work cost after the first appointment? Follow-ups are offered in person or by telehealth, but no prices are given. Ask how insurance applies, because the clinic's wording differs between sections. Its primary care section says insurance covers primary care only, while its hormone section says insurance may cover hormone visits, labs and medications. The weight loss, hormone and IV pages each say Privia Medical Group is not responsible for those services, so ask which policies and billing terms apply. Finally, ask how a membership is cancelled and whether it has a minimum term. The office number is 727-937-6060.

Who is it a good fit for?

This is a good fit if you want primary care with weight loss or hormone therapy under one named nurse practitioner, and you can get the medication terms, membership price and cancellation rules in writing before you pay. If you need published prices before you call, expect to phone the office first.

Sources: purposelyevolving.org, purposelyevolving.org/weight-loss, purposelyevolving.org/hormone-optimization, purposelyevolving.org/our-team

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