Intake Review
Erin reviews your medication list, recent labs, BP log, and self-monitoring data before the visit.

Personalized ongoing care for lasting health
Care that looks at the whole picture
Living with one or more chronic conditions can feel like a full-time job. Many patients arrive at our office juggling multiple specialists, conflicting medication lists, lab results no one has explained, and 15-minute appointments that barely scratch the surface. Diabetes, hypertension, high cholesterol, thyroid disease, and obesity-related conditions are deeply connected, yet rushed visits often miss those connections, leaving symptoms uncontrolled and patients exhausted by the runaround.
A relationship-based approach to chronic disease management changes that. Erin Garza and Jason Floyd take time to understand your full medical history, current medications, lab trends, and daily life. We treat the body as one connected system, coordinating with your specialists and integrating medical weight loss, hormone replacement therapy, and lifestyle support when appropriate so your conditions are actually controlled, not just monitored.
Coordinated, evidence-based, ongoing care
Chronic disease management is a structured, ongoing model of care that helps patients with long-term conditions like type 2 diabetes, hypertension, hyperlipidemia, hypothyroidism, and obesity-related disease achieve better outcomes through regular monitoring, medication optimization, and coordinated lifestyle support. According to the Centers for Disease Control and Prevention, chronic conditions account for 90 percent of US healthcare spending, and structured chronic care management is one of the most effective ways to control these conditions and reduce hospitalizations.
At Evolving Mind and Body, your chronic disease care follows national standards from the American Diabetes Association Standards of Care and ACC/AHA hypertension guidelines. Erin Garza or Jason Floyd reviews your medication list, labs (A1C, lipid panel, kidney function, thyroid panel), blood pressure trends, and self-monitoring data at every visit, then adjusts your plan based on the most current evidence. Where appropriate, we coordinate with your cardiologist, endocrinologist, or psychiatrist so your team works together, not in silos.
For patients who qualify, we use Chronic Care Management (CCM) service codes between visits to keep care moving, including medication reconciliation, refill coordination, lab follow-up calls, and prior authorizations. This continuous-care model is associated with better disease control and fewer ER visits compared with traditional 15-minute follow-ups.
Why patients choose us
Lower A1C, blood pressure, and cholesterol through consistent follow-up.
30-60 minute appointments so nothing about your health gets missed.
Reviewed at every visit to prevent interactions and duplications.
We talk with your cardiologist, endocrinologist, and psychiatrist.
Weight, hormone, and mental health support under one roof.
CCM service codes cover refills, labs, and prior authorizations.
Compare your options
| Treatment | Mechanism | Time | Results | Duration | Downtime | Best For |
|---|---|---|---|---|---|---|
| Integrated Care Model | Long visits, coordinated specialists, lifestyle and meds combined | 30-60 min monthly to quarterly | Improved labs and BP in 4-12 weeks | Ongoing partnership | None | Multiple chronic conditions, complex medication lists |
| Insurance-Driven Visits | Brief medication checks, limited care planning | 10-15 min every 3-6 months | Slow or partial control | Indefinite | None | Stable single conditions with simple medications |
| Specialist-Only Care | Focused on one organ system, less primary coordination | 15-30 min per specialist | Strong organ-specific results | Ongoing per condition | None | Severe single-condition disease requiring expert focus |
See if this is right for you
Chronic disease management is appropriate for any adult living with one or more long-term conditions that benefit from regular monitoring and medication adjustment. The CDC notes that 6 in 10 US adults live with a chronic disease and 4 in 10 have two or more, making coordinated ongoing care essential.
If you are unsure whether our chronic disease management program is right for you, contact our team to discuss your conditions and the most appropriate path forward.
Erin reviews your medication list, recent labs, BP log, and self-monitoring data before the visit.
Erin or Jason conducts a 30-60 minute focused exam covering symptoms, vitals, and goal setting.
Erin adjusts medications and orders updated labs based on current ADA and ACC/AHA guidelines.
Jason coordinates with your specialists, sending referrals and shared care notes the same day.
Erin uses CCM service codes for refills, lab calls, and prior authorizations as needed.
The chronic disease management visit itself carries no medical risk. The medications we manage, however, can have side effects that vary by class. Antihypertensives may cause dizziness, fatigue, or electrolyte changes that improve as your body adjusts. Statins occasionally cause muscle aches or mild liver enzyme changes that we monitor with periodic labs. Diabetes medications, including GLP-1s like semaglutide, can cause nausea, decreased appetite, and rare gastrointestinal effects. Thyroid hormone replacement requires careful TSH monitoring to avoid over- or under-treatment. According to the CDC chronic disease data, the benefits of consistent, monitored chronic disease care substantially outweigh the risks for most patients.
At every visit, Erin or Jason discusses potential side effects, drug interactions, and warning signs in plain language. We start medications at the lowest effective dose, titrate carefully, and ask you to call our office if anything feels off. Patients with kidney disease, pregnancy, or specific cardiac conditions may need additional lab work or specialist coordination before adjustments. Our priority is your safety, your comfort, and a treatment plan you fully understand and can sustain long-term.
Chronic disease care should be transparent and accessible. At Evolving Mind and Body, our self-pay rates reflect typical Florida primary care nurse practitioner pricing.
Insurance often covers chronic disease management visits as Evaluation and Management (E/M) services. Many Medicare plans and commercial insurers also reimburse Chronic Care Management service codes for qualifying patients. We accept HSA and FSA payments and provide superbills for out-of-network reimbursement.
Investing in coordinated, well-managed chronic disease care can dramatically reduce total medication costs, ER visits, and hospital admissions over time. Schedule a consultation to review your conditions and build a sustainable plan.
Combined 30+ years across emergency, cardiac, and primary care.
We address hormones, lifestyle, and mental health, not just numbers.
GLP-1, HRT, IV therapy, and psychiatry under one roof.
Longer visits, direct provider messaging, and same-week follow-ups.
Common patient questions
We manage type 2 diabetes, hypertension, hyperlipidemia, hypothyroidism, obesity-related conditions, anxiety and depression with medical comorbidity, and sleep apnea coordination. We also coordinate care for patients with multiple specialists.
Visit frequency depends on disease stability. Most patients are seen monthly when starting or adjusting therapy, then every 1 to 3 months once stable. Labs are typically reviewed every 3 to 6 months.
Yes. Many chronic disease management visits can be handled by secure telehealth, which is convenient for medication adjustments, lab reviews, and quick check-ins. In-person visits are scheduled for physical exams and acute concerns.
Chronic medical conditions often co-exist with anxiety, depression, or insomnia. We coordinate directly with our in-house psychiatry team led by Jason Floyd so your medical and mental health care are aligned, with no duplicated medications or missed connections.
Insurance coverage varies. Many chronic disease visits are covered as Evaluation and Management services, and Medicare often covers Chronic Care Management service codes between visits. Contact our team at (863) 797-6544 to verify benefits before your visit.
Absolutely. We encourage patients to bring all recent labs, imaging, and specialist notes to the first visit. Erin and Jason review prior records carefully to avoid unnecessary repeat testing and to spot patterns that may have been missed.