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Paradigm Primary was founded on the belief that healthcare should be guided by the patient, not by insurance companies. 

We created a practice that breaks free from insurance constraints, allowing us to focus entirely on providing personalized, attentive care. By spending more time with each patient and building meaningful relationships, we’re able to address individual needs with intention and compassion.

 

Our membership-based practice not only improves outcomes, but also fosters deeper trust between our team and the people we serve. Our mission is simple: your well-being comes first.

MEET YOUR HEALTH CARE TEAM

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Dr. Hongfei Di, MD

Founder of Paradigm Primary Care & Wellness

Born in China and raised in Virginia, Dr. Hongfei Di is a third generation physician and proud graduate of Xi’an Jiaotong University College of Medicine.  Following graduation, he returned to the US to complete his residency in Family Medicine at Case Western Reserve University’s MetroHealth Medical Center in Cleveland, Ohio.  There, he served as chief resident and was awarded the Jack Medalie award for overall outstanding resident in his graduating class.  Dr. Di continued to practice in the Cleveland area after graduation in both private and academic settings, serving as medical director for a large urban primary care clinic while teaching medical students and residents.  Dr. Di’s clinical passions include acute and chronic disease management for medically complex patients, joint injections, dermatologic procedures and weight management as a tool to help patients live their best life.  He considers his greatest mentors to be his father, a retired neurosurgeon, and Dr. Terence Isakov, a traditional family doctor in Cleveland (as Dr. Di likes to say, “the kind they don’t make anymore.”)  

In 2022, Dr. Di and his wife, Dr. Elizabeth Di, relocated to Jacksonville to be closer to family.  Together, they have three sons and are enjoying all northeast Florida has to offer.  Dr. Di is board certified in Family Medicine, and is a member of the American Academy of Family Physicians, as well as the Florida Academy of Family Physicians. He is licensed to practice in Florida, Ohio, and New York.  In his free time, he enjoys fishing and cooking.  He gave up motorcycle riding when he became a dad, but will happily relive his riding days to anyone who asks.

Alexis Baker, RN

Head Nurse

Meet Alexis, a compassionate and dedicated nurse with a deep commitment to caring for others. She graduated from Wilmington University with a Bachelor of Science in Nursing (BSN), where she developed a solid foundation in clinical practices and patient-centered care. With over 13 years of experience in the healthcare field, she has worked in a variety of settings, from hospitals to outpatient clinics, always putting her patients’ well-being first. Although Alexis has greatly enjoyed working in pediatric care, she has transitioned to family medicine to broaden her practice and provide comprehensive care for patients of all ages.

Outside of her professional life, Alexis enjoys spending time with her loving family. She is a proud wife and mother of three young men. In her free time, you can often find her enjoying outdoor activities like walking, sitting poolside, and visiting local parks and attractions with her family. When she’s not caring for patients or making memories with her loved ones, Alexis has a deep interest in trying new recipes for meal prepping and exercising, often using these practices to recharge and maintain a healthy work-life balance. Her dedication to both nursing and community well-being makes her a trusted healthcare professional and a valued team member.

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Gina Werner, RN

Master Aesthetics Injector

Meet Gina Werner, R.N.
Clinical Director and Master Injector at IVme Wellness + Aesthetics in Chicago. Now Master Aesthetic Injector at Paradigm Primary Care and Wellness in Saint Augustine, Florida.

An Experienced Professional, Gina has honed her expertise as a former aesthetics trainer at The Confidence Bar with the world-renowned Rana Kennelly, combined with years of emergency room nursing and 10+ years as a skilled injector.

With a natural approach and a “less is more” philosophy, Gina specializes in:
– Full Facial Balancing
– Anti-Aging Treatments like PRP and Sculptra
– Neurotoxins: Botox, Daxxify, Dysport
– Filler Treatments with precision artistry

Gina is a leading aesthetician. Her journey in healthcare has taken her from the ER to becoming a trusted name in aesthetics. Now part of Paradigm Primary Wellness, she’s passionate about helping patients feel confident, refreshed, and naturally beautiful.

FREQUENTLY ASKED QUESTIONS

DO I STILL NEED INSURANCE AS A PARADIGM PATIENT?

Insurance is not required to become a member of Paradigm Primary Care. Membership includes unlimited visits and no additional copays. Our practice will also have affordable cash pay options for labs and radiology as well. 

We will provide patients with cash costs of various specialist visits upon request. However, we do recommend some type of insurance coverage for those rare but expensive ER visits and/or hospitalizations. 

WHAT SETS PARADIGM APART FROM TRADITIONAL MEDICAL PRACTICES?

Paradigm is patient focused, patient driven, convenient, and transparent. Becoming a Paradigm member means no rushed appointments, allowing for more meaningful visits and superior care. 

Paradigm allows restoration of decision-making control by working for the patient and only the patient without any borders, restrictions, or interference by health insurers. 

SHOULD I JOIN PARADIGM IF I AM HEALTHY?

Yes! 

Paradigm provides proactive care to keep you healthy, happy, free of preventable diseases, and encourages an all-around good lifestyle. 

Being in consistent contact with Dr. Di when you're healthy helps prevent late diagnosis of chronic diseases. 

IF I HAVE MEDICARE,

CAN I STILL JOIN PARADIGM?

Yes!

However, you will need to sign a waiver that neither you nor Dr. Di will directly bill Medicare for services provided by Paradigm. 

HOW CAN I CONTACT

DR. DI?

You can contact Dr. Di via

phone, text, email, or video chat. 

We request that after-hours phone calls and texts are limited to urgent questions or concerns. 

WHAT HAPPENS WHEN DR. DI IS ON VACATION?

When Dr. Di takes a vacation, he would firstly notify his patients ahead of time so most needs are addressed prior to leaving.

During vacation, he will still be available by phone, text, and email for urgent issues. 

Our RN will manage non-acute concerns and refill requests.

DO YOU SEE CHILDREN?

Yes!

Paradigm will see children ages 4 and older, however Paradigm will not provide any vaccines at this time. 

Alternatively, we will direct you to the appropriate locations to receive vaccinations. 

HOW WILL I KNOW IF PARADIGM IS RIGHT FOR ME?

Come get to know us!

We are happy to answer any of your questions or concerns.

Please fill out the intake form and someone from our office will be in touch with you.

WHAT IF I NEED MEDICAL ATTENTION OR NEED REFILLS WHEN I'M OUT OF TOWN? 

The benefit of joining Paradigm is the independence from the restrictions of insurance policies. Because we know you well, we can streamline your care when you are sick and away from home by providing same day virtual visits. 

We can contact the pharmacy closest to you and order the medications if needed. Dr. Di can prescribe most medications anywhere in the 50 states. He is also medically boarded in Fl, OH, and NY. 

WHAT HAPPENS IF I NEED TO GO TO THE HOSPITAL OR SPECIALIST?

At Paradigm, we use a wide variety of tools to help you with any diagnosis, however when those types of care are required, we will certainly continue to work with your hospitalist during your hospital stay as well as work closely with any specialist. 

In instances requiring specialty services outside the scope of primary care, we can help you arrange direct care through local specialists or make referrals to utilize your insurance. For this reason, we do encourage you to obtain and/or sustain your insurance, as Paradigm is not considered a health insurance plan

WHAT SERVICES DOES THE MEMBERSHIP NOT

COVER?

Our membership does not include non-routine lab work, radiological tests, ER visits, or hospitalizations. In office medications such as weight loss medications and hormones will not be covered. Certain procedures such as biopsies/pathology and aesthetic procedures are not covered under the membership. 

 

However, as a Paradigm member, you will receive special membership pricing privileges for all items not covered. You will also have office pricing for labs and radiological examinations.  We will have transparent pricing for everything we have to offer in the office.

WHAT IF I WANT TO CANCEL MY MEMBERSHIP?

We understand that your needs may change, and we want to help you through whatever transitions you're making.

We request 30 days' written notice. If you miss our personalized care and want to return as a patient, you will be placed at the end of our wait list. 

A re-enrollment fee will also be applied if a spot becomes available. 

Paradigm Primary Certification
Paradigm Primary Care and Wellness St Augustine

© 2024 by Paradigm Primary

CONTACT US

125 LAND GRANT STREET, SUITE 2

ST AUGUSTINE, FL. 30292

904-659-9818

904-850-8078

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