Frequently Asked Questions

Please bring a valid photo ID, your insurance card, a list of current medications, and any relevant medical records. This helps us provide the best care from day one.

We're open Monday through Friday from 8:00 AM to 6:00 PM, and Saturday through Sunday from 8:00 AM to 4:00 PM. We offer extended hours for your convenience.

Panic disorder can be evaluated and treated by a primary care provider, psychiatrist, psychologist, or licensed therapist. At Good Health NC, our our practice lead has 22 years of experience treating anxiety and panic, including in emergency department settings where panic attacks frequently present. For most patients, primary care is an excellent starting point — we handle medication management in-house and coordinate therapy referrals when CBT is the right next step.

SSRIs and SNRIs — the first-line medications for anxiety — typically take 4 to 6 weeks to reach full effect, with some improvement noticeable in the first 2 to 3 weeks. Buspirone is similar. Beta-blockers and hydroxyzine work within hours when taken as needed. We schedule a follow-up at 2 to 4 weeks after starting any new medication so we can adjust the dose, manage side effects, or switch medications if needed.

Yes. Anxiety and depression overlap in about half of patients we see, and most first-line medications treat both. Treating them together in one place, with one provider who knows your full picture, almost always works better than splitting care across multiple offices. See our [depression treatment](/services/mental-health/depression-treatment) page for more on the depression side.

Good Health NC treats sprains, strains, simple fractures, lacerations needing stitches, minor burns, bruises, and sports injuries. We have on-site digital X-ray and can splint, suture, and prescribe in a single visit. For obvious deformity, heavy bleeding, head injury, or suspected spinal injury, go directly to the emergency room.

No. Good Health NC is a walk-in urgent care — no appointment needed for minor injuries. If you'd like to reduce wait time, you can call ahead so we know you're coming. Our hours are designed to serve patients across the Triangle, including evenings and weekends.

We diagnose, splint, and provide pain management for simple closed fractures — fingers, toes, wrists, ribs, and small foot bones are common. For displaced fractures, open fractures, or fractures that need surgical fixation, we coordinate the orthopedic referral and send your imaging directly to the specialist.

For insured patients, most commercial plans, Medicare, and Medicare Advantage cover one annual wellness visit per year at no out-of-pocket cost. Self-pay pricing for a comprehensive new-patient physical in North Carolina typically runs $159 to $378 depending on the depth of the visit and whether labs are included. Good Health NC will publish self-pay pricing once we open, and most patients use insurance for their annual physical.

Medicare covers one Initial Preventive Physical Exam (the "Welcome to Medicare" visit) within your first 12 months of enrollment, and one Annual Wellness Visit (AWV) per year thereafter. The Medicare AWV is structured differently from a traditional physical — it focuses on a health risk assessment, cognitive screen, fall-risk review, and a written prevention plan. If you need a more comprehensive exam beyond what Medicare's AWV covers, that's typically billed as a separate problem-focused visit and may have a cost share.

Yes. Sports and camp physicals are available for adolescents and young adults, using the standard North Carolina sports physical form. These are typically same-day or walk-in visits during the back-to-school window and are also offered through our [walk-in urgent care](/services/urgent-care/sports-physicals) side. Bring your school's pre-participation form and any prior immunization records, and we'll handle the rest.

Chronic condition management is the long-term care of diseases that don't resolve on their own — diabetes, high blood pressure, high cholesterol, thyroid disorders, asthma, arthritis, GERD, and similar conditions. It involves regular monitoring, medication adjustment, lifestyle support, and coordination with any specialists involved. At Good Health NC, this is the core of what primary care does day in and day out.

It depends on the condition and how stable you are. A patient with well-controlled hypertension on one medication may only need to come in every six months. A patient with a rising A1C, recent medication changes, or multiple uncontrolled conditions is typically seen every three months. We build the schedule that fits your situation, not a one-size-fits-all template.

Yes. New-patient visits are designed exactly for this. Before your visit, you (or your previous office) can send over recent records — lab results, medication list, specialist notes, and any hospital records. We'll review them ahead of time so your first appointment is spent on you, not on paperwork.

ADHD testing in North Carolina can be done by a primary care provider with ADHD expertise, a psychiatrist, or a psychologist (the latter for full neuropsychological batteries). At Good Health NC, our evaluation combines a structured clinical interview, validated rating scales, and Qbtech computer-based objective testing — typically completed in one or two visits rather than waiting months for a neuropsych slot. For most ADHD diagnoses this is the right level of evaluation; we'll refer to neuropsych if your case warrants the more extensive testing.

Start with parent and teacher rating scales (we send these home before the visit), then bring your child in for the structured evaluation. Our pediatric ADHD evaluations include the clinical interview, Vanderbilt rating scales from parent and teacher, Qbtest, and screening for the conditions that overlap with ADHD (anxiety, learning disabilities, sleep issues). Most pediatric evaluations are completed in one or two visits — much faster than the multi-month neuropsych waiting lists in the Triangle.

Qbtest is a CE-marked, FDA-cleared continuous performance test that objectively measures three core ADHD dimensions over 15 to 20 minutes: attention (sustained focus), impulsivity (response control), and activity (motion tracking via an infrared marker on the head). Results are compared against age- and sex-normed reference groups. It's an objective add-on to the clinical interview and rating scales — not the entire diagnosis on its own, but a valuable piece of evidence.

Good Health NC's urgent care treats the full range of common illnesses: colds, flu, COVID-19, strep throat, sinus infections, bronchitis, conjunctivitis (pinkeye), ear infections, UTIs, and stomach bugs. We have on-site rapid testing for strep, flu, COVID, RSV, and urinalysis, plus IV fluids for dehydration. For chest pain, difficulty breathing, or severe symptoms, go to the emergency room instead.

Urgent means a condition that needs same-day evaluation but isn't immediately life-threatening: a high fever, a UTI, suspected strep throat, a sprained ankle, a cut needing stitches, or a sinus infection that won't quit. Emergency means symptoms suggesting heart attack, stroke, sepsis, severe trauma, or trouble breathing — those need the emergency room or 911. If you're not sure, walk in and we'll triage you.

Not always — most sinus infections are viral and resolve on their own within 7 to 10 days. We prescribe antibiotics when symptoms last more than 10 days without improvement, when symptoms initially improved and then worsened, or when you have severe symptoms like high fever and facial pain. We follow CDC and AAFP antibiotic stewardship guidelines so you get the right treatment, not just any treatment.

Good Health NC runs on-site digital X-ray, rapid strep, rapid flu A and B, rapid COVID-19 antigen, RSV, urinalysis, urine pregnancy, blood glucose, monospot, and hemoglobin testing — all with same-visit results. Comprehensive lab panels (A1C, lipid, CMP, thyroid) are drawn on-site and sent to our reference lab, typically resulting in 1 to 2 business days.

Generally, yes. Urgent care imaging and lab fees are typically lower than hospital outpatient pricing for the same study. Self-pay rates and insurance contracted rates will be posted at opening. Most major commercial insurance, Medicare, and Medicare Advantage plans are expected to be accepted, with imaging usually billed under the visit's facility fee.

Yes. If you're an established primary care patient, we can draw labs in-house during your visit. Rapid tests (glucose, urinalysis, hemoglobin) resolve in the same visit. A1C, lipid panel, and comprehensive metabolic panels are sent to our reference lab and typically result within 1 to 2 business days, with the report sent directly to your chart.

Bipolar I requires at least one full manic episode — a period of significantly elevated, expansive, or irritable mood plus increased energy and activity, lasting at least 7 days or requiring hospitalization. Bipolar II involves hypomanic episodes (less severe than full mania, lasting at least 4 days) plus major depressive episodes. Bipolar II is often missed because hypomania can feel pleasant or productive — patients usually only seek help during the depressive episodes. Both types share the same treatment foundation: mood stabilization first, careful use of antidepressants only with a mood stabilizer on board.

Because antidepressant monotherapy in bipolar disorder can trigger manic or hypomanic episodes, worsen mood cycling, and delay effective stabilization. Bipolar disorder is a mood-regulation problem, not just a low-mood problem — the medications that work for it (lithium, valproate, lamotrigine, atypical antipsychotics) target mood stabilization. Antidepressants can be used in bipolar care, but almost always alongside a mood stabilizer, and not as standalone treatment. This is why we screen every depression patient for bipolar features before starting an antidepressant.

It depends on the medication. Lithium requires periodic lithium levels (especially during dose changes), kidney function, and thyroid function. Valproate (Depakote) requires liver function tests and CBC. Lamotrigine doesn't require routine bloodwork. Atypical antipsychotics need periodic metabolic monitoring — fasting glucose, lipid panel, and weight tracking. We schedule all of this proactively so monitoring doesn't fall behind.

Most routine adult vaccines are covered at no out-of-pocket cost by commercial insurance, Medicare Part B (for flu, COVID, pneumococcal, Hepatitis B for at-risk adults), and Medicare Part D (for shingles, Tdap, and others). For uninsured adults and children, North Carolina offers vaccine assistance programs through the state immunization branch; we can help connect you to those resources. Final pricing for self-pay patients will be published once our practice opens.

There's no general adult vaccine mandate in North Carolina, but specific settings — healthcare employment, certain college programs, international travel — do have their own requirements. The [CDC adult immunization schedule](https://www.cdc.gov/vaccines/schedules/hcp/imz/adult.html) is the medical standard. At Good Health NC, we walk through what's recommended for your age, your medical conditions, your job, and any upcoming travel, then build a plan from there.

Yes. The CDC explicitly allows co-administration of seasonal flu and COVID-19 vaccines, typically given in separate arms. Many patients prefer to bundle them in one visit during the fall. We can also add other due vaccines — Tdap, shingles, pneumococcal — at the same visit when appropriate.

Flat self-pay pricing for student sports physicals will be posted at opening — typically in the $30 to $50 range for a standard exam without additional testing. Many insurance plans cover sports physicals under preventive care, especially when bundled with an annual well visit. DOT physicals and pre-employment exams are priced separately. Call before your visit for a specific quote.

Bring four things: a photo ID (or a parent if the patient is under 18), the school or employer form to be signed, your insurance card if applicable, and a list of any current medications. For sports physicals, bring any recent imaging or specialist notes related to past injuries or concussions. For DOT physicals, bring your CDL and your glasses if you wear them.

In North Carolina, a school sports physical is generally valid for 365 days from the exam date. Most schools require a new physical each academic year, even if your previous one hasn't expired. DOT medical certificates are valid for up to 24 months, often shorter for drivers with monitored conditions. Pre-employment physicals are typically considered current for the specific job offer they were performed for.

Good Health NC is a combined primary care and walk-in urgent care practice at 330 Sugar Magnolia Ln, Knightdale, NC 27545. Primary care services include annual wellness visits, chronic disease management, preventive screenings, immunizations, lab work, medication management, and lifestyle counseling. Urgent care covers minor illness, injury, on-site diagnostics, and sports physicals — walk-in or same-day appointment.

North Carolina offers several no-cost and reduced-cost programs through the NC Division of Public Health, including Breast and Cervical Cancer Control, Diabetes Prevention, and immunization programs. Some preventive services are covered at 100% by commercial insurance under the ACA. We help patients connect to community programs when cost is a barrier and offer transparent self-pay pricing for those without insurance.

Your wellness visit at Good Health NC includes a comprehensive history, physical exam, on-site labs (CBC, metabolic panel, lipid panel, A1C, TSH, and vitamin D when indicated), age- and risk-appropriate screening recommendations, vaccine review, mental health screening, and a written prevention plan. We send results through the patient portal and call you directly if anything needs attention.

Yes. Most depression in the U.S. Is managed in primary care, and for good reason. Your primary care provider can rule out medical causes (thyroid disease, vitamin deficiencies, sleep apnea), prescribe and adjust first-line antidepressants, and coordinate therapy referrals. We escalate to psychiatry only when cases are complex — treatment-resistant depression, severe bipolar disorder, or psychotic features. For everyone else, having one provider who sees the whole picture works better than fragmenting care.

About one-third of patients don't get adequate relief from the first antidepressant they try, and that's a normal part of finding the right fit — not a sign that treatment won't work. Options include increasing the dose, switching to a different agent, adding a second medication (augmentation), or moving to advanced options like [TMS therapy](/services/mental-health/tms-therapy) or [ketamine therapy](/services/mental-health/ketamine-therapy) for treatment-resistant depression. We work through these steps with you systematically.

Yes — and the two overlap in about half of the patients we see. Most first-line antidepressants treat both conditions, and treating them together in one office, with one provider who knows your full picture, almost always works better than splitting care. See our [anxiety treatment](/services/mental-health/anxiety-treatment) page for more on the anxiety side.

Yes. Labs are ordered as part of a provider visit at Good Health NC, not as a walk-in lab draw without an order. There's a good reason for that — the right tests depend on what we're actually working up, and the results need a clinician's eye to be useful. If you have an existing order from another provider that needs to be drawn, give us a call and we can usually accommodate.

Same-day for most rapid tests — strep, flu, COVID, RSV, urine dip, pregnancy, A1C, and EKG. Standard blood work (CBC, CMP, lipid panel, thyroid panel) runs 24 to 72 hours. Specialized send-out tests (hormone panels, genetic testing, pathology) typically take 2 to 7 days. We contact every patient with their results — including normal ones — with plain-language interpretation, not just a number on a portal.

At Good Health NC, no — labs are ordered as part of a clinician visit because the results need medical interpretation and follow-up. If you've had a recent visit with another provider and need a repeat draw, we can usually accommodate by accepting the outside order. For complete walk-in lab testing without an order, retail testing services exist, but the trade-off is no clinician on the back end to explain or act on the results.

Yes, in most cases. Medicare covers TMS for major depressive disorder when criteria are met, and most major commercial insurance plans cover TMS after documented trials of one to four antidepressants (the exact number varies by plan). Prior authorization is required by virtually every insurer. At Good Health NC we handle the prior authorization paperwork — including medication history documentation and clinical justification — so you don't have to chase it yourself.

When TMS is covered by insurance — which is the case for Medicare and most major commercial plans after documented antidepressant trials — your out-of-pocket cost is whatever your deductible, copay, and coinsurance amount to. We handle the prior authorization and verification of benefits before you start, so you know exactly what you're responsible for. We'll share specific cost ranges once our insurance panel is finalized.

Once the device is positioned, a standard TMS session runs about 20 minutes. The first session is longer because we map the precise treatment location and intensity. You stay awake, can read or talk during treatment, and drive yourself home afterward — no anesthesia, no downtime.

Triangle allergy seasons run year-round. Spring (March to May) is dominated by tree pollen — oak, pine, cedar, and maple. Summer (June to August) brings grass pollen. Fall (August to October) is ragweed and mold. Winter is mostly indoor allergens — dust mites, pet dander, mold. If your symptoms are not controlled by over-the-counter antihistamines, walk in and we'll discuss prescription options or trigger management.

Some asthma action plans use a 4-4-4 framework during an attack: take 4 puffs of your rescue inhaler (one at a time, four breaths between each), wait 4 minutes, and if you're not better, take another 4 puffs and call for help. Patterns vary by individual action plan — Good Health NC builds a personalized written action plan during your visit so you know exactly what to do at home.

Yes. We treat allergic reactions in children and adults. For severe pediatric reactions or recurrent unexplained anaphylaxis in children, we coordinate referral to a pediatric allergist for formal allergy testing and immunotherapy evaluation. For asthma management in kids, we work with families on inhaler technique, trigger avoidance, and action plans that work at school as well as home.

Spravato (esketamine nasal spray) is FDA-approved and covered by Medicare and most major commercial insurance plans after documented antidepressant trials. Prior authorization is required, and we handle that paperwork. IV ketamine is typically used off-label for depression and is usually not covered by insurance — most clinics offering it bill out-of-pocket. We verify your specific coverage and share the cost expectations before you start either path.

One of the reasons ketamine is used for treatment-resistant depression is its speed. Many patients notice some improvement within hours to days of the first dose, with cumulative effect over the induction phase. That's significantly faster than traditional antidepressants, which take 4 to 6 weeks. Sustained response usually requires the full induction series followed by maintenance dosing.

No. Ketamine and Spravato both produce dissociation and drowsiness that last several hours after the dose. You'll need someone to drive you home after every session, and we recommend planning a quiet rest of the day — no work, no driving, no important decisions until the next morning.

Sutured wounds typically have enough strength for sutures to come out at the times above (5 to 14 days depending on location). Full tissue remodeling and final scar appearance, however, continues for 6 to 12 months. To get the best cosmetic result we recommend keeping a healed scar protected from the sun for at least 6 months and using daily sunscreen on it.

Four things make the biggest difference: 1) Keep the wound clean and moist with daily gentle washing and petrolatum. 2) Don't pick at scabs or sutures. 3) Stop smoking, which significantly slows wound healing. 4) Keep your blood sugar well-controlled if you have diabetes. Vitamin C and protein support healing, but mega-dosing supplements doesn't accelerate it beyond what an adequate diet provides.

Yes. We routinely remove sutures and staples placed at other urgent cares, ERs, or hospitals. Bring whatever paperwork you have so we know the wound history, the closure date, and any antibiotics you were prescribed.

Health education in primary care is teaching patients about their conditions, medications, and the lifestyle factors that affect their health. At Good Health NC, we build education into every visit — explaining what your labs mean, why a medication was prescribed, and what specific changes (diet, activity, sleep, stress) will move your numbers in the right direction.

Most commercial insurance, Medicare, and Medicare Advantage cover the components of wellness coaching delivered during a primary care visit — including nutrition counseling, tobacco cessation, weight management counseling, and chronic disease education. Specialized programs (registered dietitian visits, diabetes self-management education) often have separate coverage rules. Our team verifies coverage before any visit.

Yes, for many patients. Sustained behavior change alone can produce meaningful weight loss, particularly for patients with prediabetes or early metabolic syndrome. For patients with higher BMI or weight-related conditions, lifestyle coaching combined with GLP-1 medication (semaglutide or tirzepatide) produces better outcomes than either alone. We tailor the approach to your situation.

Primary care plays a central role in eating disorder treatment — medical evaluation, ongoing monitoring of labs and vital signs, medication management, and coordinating the broader team. Therapy and specialized nutrition counseling are handled by clinicians and dietitians trained in eating disorders, who we refer to and communicate with throughout your care.

Yes. Binge eating disorder is the most common eating disorder in the U.S. And is highly treatable. We provide medical evaluation, medication management when indicated (lisdexamfetamine is FDA-approved for BED), and referrals to therapy approaches with strong evidence — CBT-E and interpersonal therapy in particular.

Absolutely. Eating disorders affect people of all genders, ages, body sizes, and ethnicities. Adult-onset eating disorders and disorders in men are commonly underdiagnosed because they don't match the stereotype. If something feels off about your relationship with food or your body, come in.

Come in if the rash is spreading quickly, has lasted more than 7 days, is accompanied by fever, has signs of infection (warmth, pus, red streaks), or you cannot identify the cause. At our Knightdale clinic we can usually diagnose the rash in one visit and start the right treatment immediately.

Yes. Skin complaints are one of the most common reasons people use our walk-in urgent care, and we keep same-day appointment availability. Most skin visits are completed in 20 to 30 minutes.

Come in as soon as possible. Antiviral medication for shingles is most effective when started within 72 hours of the rash appearing. We can diagnose shingles in-office, start treatment that day, and manage the pain associated with the rash.

Most medication management happens in primary care. At Good Health NC, our experienced PA-C clinical lead and our clinical team manage the full medication list — cardiovascular, diabetes, thyroid, mental health, pain, and acute-illness prescriptions. We work with psychiatry, cardiology, and other specialists when a medication is outside primary care scope, but we always maintain the master medication list ourselves.

Your first medication management visit runs about 30 to 45 minutes. Bring every prescription bottle, every OTC, and every supplement you take, even if you only take it sometimes. We build the real list, document the reason for each medication, screen for drug-drug and drug-supplement interactions, adjust doses based on kidney and liver function, and simplify the regimen where we can. You leave with a one-page printed medication list.

Most chronic-disease medications are refilled for 90 days at a time, tied to your next scheduled lab or visit, so you don't run out. Refill requests through the patient portal are handled within 1 to 2 business days. Controlled substance refills follow DEA rules and require in-person visits at appropriate intervals. If insurance denies a medication, our team works the prior authorization or appeal.

When you genuinely cannot keep oral fluids down, IV hydration is the fastest and most reliable way to correct dehydration. It is worth it for moderate dehydration from vomiting, diarrhea, heat exhaustion, or persistent nausea where oral rehydration has failed. It is not necessary for routine mild dehydration that resolves with water, electrolyte drinks, or rest. At our Knightdale clinic we make this assessment for you during the visit and don't recommend IV fluids when they aren't needed.

Some POTS patients use IV fluids for symptom flares, but this is best managed by a cardiologist or autonomic specialist who knows your case. For an acute POTS flare in the absence of your specialist, we can provide one-time IV hydration after evaluation, while we coordinate follow-up with your primary cardiologist through [specialist referrals](/services/primary-care/specialist-referrals).

No. Good Health NC is a medical clinic, not a wellness drip bar. We provide IV hydration when it is medically indicated. The evidence for vitamin and mineral drips marketed for energy, immunity, beauty, or anti-aging is weak, and the small risks of unnecessary IV access (infection, vein damage) are real. If you are looking for that type of service, we are not the right clinic for you.

Care coordination is the work your primary care team does to organize your care across specialists, hospitals, pharmacies, and other providers. At Good Health NC, that includes managing referrals, reconciling medications, following up on every test result, coordinating with hospital teams after a discharge, and handling prior authorizations. The goal is one medical home that owns the handoffs so nothing falls through the cracks.

The first 30 days after a hospital discharge are the highest-risk window for readmission, medication errors, and missed follow-up. At Good Health NC, every patient discharged from a hospital or ER gets a follow-up appointment scheduled within 7 to 14 days. We reconcile your medications, review the discharge plan, and make sure any new specialist appointments are on the calendar.

We send a referral packet with your relevant history, labs, imaging, and a specific clinical question for the specialist. After your specialist visit, we pull the consult note into your record, review it, and message you through the patient portal with a summary and any next steps. You shouldn't have to be the messenger between offices.

Yes. At Good Health NC, our experienced PA-C clinical lead provides medication management for OCD — including SSRIs at the higher doses OCD typically requires — and coordinates referrals to therapists trained in exposure and response prevention (ERP). Many patients never need a separate psychiatry visit.

For most patients, yes. The combination of an SSRI plus ERP therapy outperforms either alone. We handle the medication side at Good Health NC and refer you to a local ERP-trained therapist. We coordinate with them throughout your treatment.

OCD is usually a chronic condition, but with proper treatment most patients reach a point where symptoms no longer interfere with daily life. The goal isn't always zero symptoms. It's getting your life back.

Cost depends on your insurance plan and whether you are paying cash. In North Carolina, cash prices for an outpatient I&D typically range from about $330 to $600. Most major commercial insurance plans, Medicare, and Medicare Advantage are expected to be accepted at opening, in which case you pay your normal urgent care copay plus any procedure-related cost share. Urgent care I&D is almost always dramatically less expensive than the same procedure performed in an emergency room.

After the procedure, the cavity continues to drain small amounts of fluid for several days, which is normal and expected. If we pack the wound, the packing is typically removed in 2 to 3 days at a follow-up visit at our Knightdale clinic. Most small to medium abscess wounds are fully healed within 1 to 2 weeks. Spreading redness, increasing pain, or new fever after drainage is not normal and should bring you back in immediately.

Not always. Current evidence supports antibiotics for larger abscesses, abscesses with surrounding cellulitis, MRSA-positive cultures, immunocompromised patients, and any patient with systemic symptoms like fever. Smaller, uncomplicated abscesses in otherwise healthy patients often heal well with drainage alone. We make this decision case by case based on the size, location, your medical history, and culture results.

No. It is illegal under federal anti-kickback statutes for a provider to receive payment in exchange for a referral, and Good Health NC follows that standard strictly. Our referrals are based entirely on clinical fit, specialist quality, and patient feedback. We do not accept any payment, gift, or incentive from specialists for sending patients.

We refer when a specialist's expertise will meaningfully change the plan — for example, when a condition needs a procedure (colonoscopy, cardiac catheterization), advanced testing (sleep study, EMG), surgical evaluation, or specialty-only management. We don't refer reflexively. If primary care can handle something well, we keep it in primary care and save you the extra appointment.

Wait times vary by specialty — dermatology and orthopedics often run 4 to 8 weeks in the Triangle, while cardiology and GI typically run 2 to 6 weeks. Urgent referrals are usually accommodated within 1 to 2 weeks. If wait times are a problem, we work the phones to get you in sooner or recommend an alternative specialist.

Three trauma-focused therapies have the strongest evidence: cognitive processing therapy (CPT), prolonged exposure (PE), and EMDR. All three are typically time-limited (about 12 sessions for CPT and PE) and work better than non-trauma-focused therapy for most patients. At Good Health NC we handle medication management in-house and refer you to a therapist trained in one of these approaches.

Withdrawal and emotional distance are common with complex PTSD. The most useful things you can do are stay consistent, avoid taking it personally, and gently encourage them to start treatment. Sending them a calendar link or driving them to a first appointment removes a real barrier. Family-supported care is welcome at Good Health NC.

Yes. For some patients, trauma-focused therapy alone is enough, particularly with CPT, PE, or EMDR. For others, combining therapy with medication produces better and faster results, especially when sleep, depression, or severe anxiety are part of the picture. We make that decision together.

A medical weight loss program is provider-supervised weight management combining a metabolic workup, prescription medication when appropriate (typically GLP-1 medications like semaglutide or tirzepatide), lifestyle coaching, and ongoing follow-up. At Good Health NC, medical weight loss is part of primary care, not a separate cash-pay program. Visits use your standard primary care insurance benefits, and we handle prior authorizations for medications.

We prescribe GLP-1 medications — semaglutide (Wegovy, Ozempic) and tirzepatide (Zepbound, Mounjaro) — when clinically indicated: BMI of 30 or higher, or BMI of 27 or higher with a weight-related condition like type 2 diabetes, hypertension, sleep apnea, or fatty liver. Before starting, we run a full metabolic workup and screen for contraindications. Our team handles prior authorization and side-effect management.

Coverage varies significantly by insurance plan and indication. Most plans cover GLP-1 medications for type 2 diabetes (Ozempic, Mounjaro). Coverage for the obesity-indicated versions (Wegovy, Zepbound) is more variable. Our team verifies coverage before prescribing, handles prior authorization, and works appeals when needed. For patients with type 2 diabetes and obesity, coverage is often more straightforward.

Come to Good Health NC urgent care for cuts under 4 inches with controllable bleeding, burns smaller than your palm that are not on the face, hands, feet, joints, or genitals, and wounds without exposed bone, tendon, or muscle. Go to the ER for third-degree burns (white or charred), burns over 10% of the body, electrical or chemical burns, deep punctures, uncontrolled bleeding, or any wound with visible bone or tendon. When in doubt, call us at our Knightdale clinic first.

All three depending on the wound. Sutures (stitches) are the standard for most lacerations, especially under tension or on the face. Skin adhesive (Dermabond) works well for clean, straight, low-tension wounds and avoids the need for suture removal. Staples are most often used on scalp lacerations. We choose the closure method based on the wound location, depth, edge quality, and cosmetic priority.

First-degree and many small second-degree burns are well-suited to urgent care treatment. Third-degree burns, burns over more than 10% of body surface area, burns on the face, hands, feet, joints, or genitals, and chemical, electrical, or inhalation burns all need an emergency room or burn center. We perform an initial assessment at our Knightdale clinic and refer to a burn center when appropriate.

The four most common are insomnia, obstructive sleep apnea, restless legs syndrome, and circadian rhythm disorders (like shift-work-related sleep problems). Insomnia is the most prevalent overall; sleep apnea is the most underdiagnosed and one of the most consequential.

Most major commercial insurance, Medicare, and Medicare Advantage plans cover medical evaluation of sleep disorders. Sleep studies, CPAP equipment, and CBT-I are also typically covered, though specific coverage and cost-sharing vary by plan. We'll help you understand benefits before any referral.

Cognitive behavioral therapy for insomnia (CBT-I) is a short-term, structured therapy that's more effective than sleep medication for chronic insomnia. It usually runs 4 to 8 sessions and works for most patients. We refer to local clinicians and digital programs that deliver CBT-I.

Thyroid care is a chronic condition best managed in primary care, where ongoing labs, dose adjustments, and follow-up are coordinated by a team that knows your history. Urgent care is appropriate for acute issues like severe hyperthyroid symptoms, but ongoing thyroid management belongs in primary care. Good Health NC offers both under one roof — same-day urgent care plus longitudinal primary care.

In North Carolina, PAs practice with full prescriptive authority and manage the full range of primary care conditions, including thyroid disease, in collaboration with a supervising physician. Most thyroid disease is managed in primary care regardless of provider type. Our medical team, has 22 years of experience and uses the same evidence-based guidelines as physicians. Complex cases are co-managed with endocrinology.

When starting or adjusting levothyroxine, we recheck TSH every 6 to 8 weeks until your level is stable. Once stable, most patients need TSH every 6 to 12 months. Labs are done on-site at Good Health NC, so results are back the same day or next morning, and dose adjustments can happen at the same visit.

Good Health NC is located at 330 Sugar Magnolia Ln, Knightdale, NC 27545 — convenient to Wendell, Zebulon, Rolesville, Wake Forest, Garner, and East Raleigh. We're a primary care and walk-in urgent care practice serving patients across the Triangle.

Most major commercial insurance, Medicare, and Medicare Advantage plans cover diabetes management as a primary care service, including labs and medication management. We're finalizing our insurance panel ahead of opening — once contracts are in place, we'll publish the complete list. If you'd like to be notified when your specific plan is confirmed, [join our updates list](/contact).

About 90% of type 2 diabetes is managed beautifully in primary care, where your provider can address diabetes alongside the other conditions that travel with it — high blood pressure, cholesterol, thyroid, weight, mental health. Endocrinologists are essential for complex cases (type 1 diabetes, severe insulin resistance, rare endocrine disorders), and we coordinate referrals when that level of specialty is needed. For most patients, having one provider who sees the whole picture leads to better outcomes.

For most adults, the best provider for hypertension is a primary care clinician who can manage blood pressure alongside the other conditions that travel with it — cholesterol, diabetes, thyroid, weight, and sleep. Cardiologists and nephrologists become essential for resistant hypertension, secondary causes, or established heart and kidney disease, and we coordinate those referrals when indicated. For the everyday work of diagnosing, treating, and monitoring high blood pressure, primary care is the right home.

A typical hypertension visit at Good Health NC includes a focused history, accurate in-office blood pressure measurement (often more than one reading), a physical exam, on-site [lab work](/services/primary-care/lab-tests-diagnostics) to check kidney function, cholesterol, blood sugar, and thyroid, and an EKG when indicated. We review any home blood pressure readings you've collected, build a treatment plan, and schedule follow-up — usually 4 to 6 weeks out if changes are being made.

Often, but not always. Some patients with stage 1 hypertension who make significant lifestyle changes — sustained weight loss, sodium reduction, regular activity, alcohol reduction — can come off medication over time. Most patients with stage 2 hypertension or significant cardiovascular risk factors will be on at least one medication long-term, because the disease itself is long-term. The trade-off is well worth it: blood pressure control dramatically reduces stroke and heart attack risk for decades.

For most adults, every four to six years is the screening baseline starting in the early 40s. If your numbers are abnormal, if you have a family history of premature heart disease, or if you're on cholesterol-lowering medication, we check more often — typically every 6 to 12 months. At Good Health NC, labs are done on-site so we can review results with you at the same visit when needed.

Not always. Treatment is matched to your overall cardiovascular risk, not to your cholesterol number in isolation. Some patients do well on lifestyle therapy alone for 6 to 12 months. Others — especially anyone with diabetes, prior heart disease, or familial hypercholesterolemia — benefit from medication earlier. We walk through the evidence and the trade-offs and build the plan together.

Most major commercial insurance, Medicare, and Medicare Advantage plans cover lipid screening, cholesterol management visits, and standard medications. We're finalizing our insurance panel ahead of opening — once contracts are in place, the complete list will be published. [Join our updates list](/contact) to be notified when your specific plan is confirmed.

Primary care is the ongoing relationship with a clinician who manages your overall health — preventive care, chronic conditions, vaccinations, screenings, acute concerns, and coordination with any specialists you see. It's where most adult medical care should start and where most of it can be handled.

At least once a year for an annual physical. For chronic conditions like diabetes, hypertension, or thyroid disease, every 3 months is typical until stable. After that, every 6 to 12 months works for most patients. Acute concerns are handled as they come up, usually same-week.

Some insurance plans require a referral from primary care before they'll cover specialist visits. We handle those routinely and coordinate the handoff so the specialist has your full history and labs already.

No. Thyroid ultrasound is a scheduled imaging study, not an urgent care procedure. If you have a thyroid concern — a lump, swelling, or abnormal labs — that's a primary care visit, where we'd order the ultrasound and connect you with endocrinology if needed.

Yes, for first- and second-degree burns that aren't extensive and don't involve the face, hands, feet, groin, or major joints. We clean, dress, and arrange follow-up. Larger burns, third-degree burns, electrical or chemical burns, and any burn with airway involvement need an emergency department or a burn center.

No, urgent care is walk-in. Same-day appointments are also available if you'd prefer to book a time. Either way, we'll typically have you in and out in 30 to 60 minutes.

Yes. The majority of mental health care in the U.S. Is provided in primary care. At Good Health NC we manage medications for anxiety, depression, ADHD, OCD, PTSD, bipolar disorder, and related conditions, and we coordinate therapy referrals with clinicians we know and trust. We refer to psychiatry for treatment-resistant cases and complex medication regimens.

Same-week appointments are typically available. We don't operate on a months-long waitlist model. If symptoms have been present for weeks and you're ready to start care, you should be able to get in this week.

If you or a loved one is in immediate danger, call or text 988 — the Suicide and Crisis Lifeline — or go to your nearest emergency department. Good Health NC is not a 24/7 crisis line, but we do see patients quickly after a crisis to start or restart ongoing treatment.

Telehealth is on our roadmap for launch in the months following the practice opening. An initial 600-patient pilot among established primary care patients will roll out first, with broader access opening once the platform is fully validated. Sign up through our contact page to be notified when it goes live.

Most major commercial insurance, Medicare, and Medicare Advantage plans cover telehealth visits at parity with in-person visits, though specific coverage and cost-sharing vary by plan. Self-pay rates will be published before launch. We'll confirm coverage with you before any visit.