$ 199/mo Billed Monthly
  • Whole person, root-cause primary care
  • In-depth visits with your Integrative Doctor or Nurse Practitioner
  • Annual nutrition assessment
  • Personalized health plan
  • Access to advanced lab testing
  • Regular InBody body composition analysis
  • Direct messaging with treatment team through patient portal
  • Discount on other Spruce MD services
  • Spruce Perks Spruce Perks: Discounts at participating local businesses such as fitness, grocery, cryotherapy and more all through your Spruce MD membership.


Inquire for Pricing
  • All benefits of a Comprehensive Membership PLUS:
  • 24/7 access to provider
  • Priority visits
  • Registered Dietician Visits
  • Discount on supplements
  • Discount on Städa Skin Lab aesthetic services
  • *Limited number of VIP memberships available


$ 749 Billed Once
  • Consultative medical care
  • 1 Integrative Doctor or Nurse Practitioner visit
  • 1 Lab review visit
  • Personalized health plan
  • Access to advanced lab testing
  • 1 InBody body composition analysis


$ 185 New Patient Visit
  • Personalized nutrition plan
  • InBody body composition analysis
  • Inquire about RD bundled packages

Weight Management

Beginning at $399/mo
  • 6 month program
  • Includes:
  • Registered dietician visits
  • Nurse Practitioner visits
  • Initial labs
  • Monthly InBody body composition analysis
  • Semaglutide medication

Body Scan

  • Revolutionary bone health and body scan
  • Provides critical health markers
  • Quick & non-invasive

Interested in corporate health plans? Contact us for more information.

Common Questions

Spruce MD does not accept any form of insurance. You can, however, use HSA and FSA dollars towards services. Additionally, a superbill can be requested from our Patient Coordinators and you can submit to your insurance provider. While we cannot guarantee insurance will apply costs of our services to your deductible, this has been successful for many patients.

Spruce MD is a cash-based, direct primary care model clinic. This model gives you more time with your physician or nurse practitioner, access to discounted medications and a more personalized healthcare experience that is not available through traditional insurance-based models. Unfortunately, traditional health insurance does not currently reimburse for the  prolonged patient visits and preventative care that make Spruce MD unique.

If you are relatively healthy, thee Comprehensive Membership is probably the right membership for you. Patients with chronic medical issues and those looking for VIP experience would likely benefit from the increased number of visits that come with the VIP Membership.

Yes! Dr. Blankenship, Dr. Shiffman, and Cynthia Bosell, NP can all serve as your primary provider. Dr. Shiffman sees children but does not serve as a pediatrician and children will need to keep their pediatrician for well child visits and vaccination schedules.


Customized labs are ordered for patients individually and are a separate cost. We are able to offer some discounted labs through our partner lab. Lab tests are optional and recommended on an individual basis. The cost of lab testing is often covered by insurance.


Yes! If you wish to pick up supplements, you can email or call our front office and our Patient Coordinators will have your supplements waiting. Feel free to drop in during business hours as well! 

Yes! Our providers have medical licenses in these states: South Carolina, North Carolina, Florida, and Virginia. Inquire about virtual memberships.

Yes! If one person in a household is a Spruce MD member, a second family member can sign up for membership at a discounted monthly rate.

Members are given access to discounts at like-minded, health-promoting businesses in Greenville, SC. This is a great opportunity to start working toward health goals at a discounted cost. Current partnering Perks businesses include:


We understand that circumstances change, and we try provide flexibility while maintaining fairness to our patients. Take note of the cancellation policy below:

Month-to-month memberships:

  • Final Payment: 30-day notice is required for cancellation and you consent to one final payment equal to your monthly rate. 
  • Access Period: Your access to care continues for the month following your final payment. 
  • You will need to email our Patient Coordinators at [email protected] to initiate cancellation.

Annual Memberships: 

  • Annual memberships are non-refundable. You will have access to Spruce MD services through your 12-month agreement.

Refunds will not be given for any unused medical or dietician visits or unused or remaining time in your membership. We do not offer refunds on any of our membership plans. Please note that even after your membership has ended, you’ll have continued access to your visit notes, lab records, and handouts in your patient portal.

If you have additional questions, please email us at [email protected]

Registered Dietician

Integrative and Functional Medicine Providers