Supervisory Direct Primary Care Physician

Kerix; Columbia Township (MO); On-site; USD 180,000 - 260,000; Full time

Job summary

KerixHealth's Big Tree Medical in Columbia, Missouri is seeking a Family Medicine or Internal Medicine physician to join as Direct Primary Care Physician and Supervisory Physician, overseeing a team of approximately six Nurse Practitioners.

This opportunity supports broad-scope primary care with time for patient relationships, mentorship, and collaboration within a physician-led culture. Four clinic days plus one administrative day weekly; no on-call duties.

Qualifications

• MD or DO from an accredited medical school.
• Board Certified or Board Eligible in Family Medicine or Internal Medicine.
• Active Missouri medical license or ability to obtain prior to start date.
• Strong commitment to evidence-based medicine and high-quality patient care.
• Excellent communication and relationship-building skills.
• Willingness and ability to supervise Nurse Practitioners under Missouri collaborative practice requirements

Responsibilities

• Provide comprehensive primary care services including preventive care and chronic disease management.
• Mentor and supervise a team of approximately six Nurse Practitioners.
• Collaborate with clinical and operational teams to ensure an exceptional patient experience.
• Practice broad-scope medicine with clinical autonomy and focus on care quality.
• Support growth and maintain patient-first culture

Skills

Communication skills

Relationship-building

Mentorship

Education

MD/DO

Boarded/Eligible FM/IM

Job description

Supervisory Direct Primary Care Physician

Join a Growing Direct Primary Care Practice in Columbia, Missouri

Big Tree Medical is seeking a Family Medicine or Internal Medicine Physician to join our Columbia, Missouri practice as a Direct Primary Care Physician and Supervisory Physician , overseeing a team of approximately six Nurse Practitioners.

This is an exceptional opportunity to join an established and thriving Direct Primary Care organization known for delivering highly personalized, relationship-based care. As patient demand continues to grow, we are expanding our physician team to increase access while preserving the quality, continuity, and meaningful patient relationships that define our model.

We're looking for a physician who enjoys practicing broad-scope primary care, values strong relationships with patients, and is excited to mentor and support a collaborative team of Nurse Practitioners. If you're seeking an environment that prioritizes quality over volume, offers the time and autonomy to care for patients thoughtfully, and values teamwork and culture, we'd love to connect with you.

About Big Tree Medical

Founded in 2017 by Dr. Adam Wheeler, Big Tree Medical is a membership-based Direct Primary Care organization built on the belief that healthcare should be personal, accessible, and affordable. Through our membership model, providers care for smaller patient panels, spend more time with patients, and practice medicine without the administrative burdens and productivity pressures often associated with traditional insurance-based care.

Headquartered in Columbia, Missouri, with additional locations across central Missouri, Big Tree Medical provides comprehensive primary care along with services such as hormone replacement therapy, medical weight management, and longevity-focused care. Our team is known for its collaborative, entrepreneurial culture and shared commitment to building meaningful relationships with patients and one another.

Big Tree Medical is part of KerixHealth , a physician-led healthcare organization dedicated to expanding access to relationship-based care through innovative primary care, urgent care, and employer-sponsored health services. Backed by the strength and resources of a growing organization, Big Tree Medical maintains the culture, autonomy, and patient-first philosophy that make Direct Primary Care so rewarding for both providers and patients.

Why This Opportunity Is Different

• Join an established and growing Direct Primary Care practice in Columbia, Missouri
• No call responsibilities
• Predictable schedule with four clinical days and one administrative day each week
• Serve as Supervisory Physician for approximately six Nurse Practitioners
• Smaller patient panels and longer appointment times
• Focus on patient care, prevention, and outcomes rather than RVUs
• Broad-scope primary care with clinical autonomy
• Collaborative, physician-led culture with strong provider support
• Opportunity to help shape the continued growth of a successful organization
• Stable, established practice with a proven Direct Primary Care model

• Provide comprehensive primary care services, including preventive care, chronic disease management, acute care, and care coordination
• Build long-term relationships with patients and deliver highly personalized, accessible care
• Serve as Supervisory Physician for approximately six Nurse Practitioners in accordance with Missouri collaborative practice requirements
• Provide clinical mentorship, oversight, and support to advanced practice providers
• Collaborate closely with the clinical and operational teams to ensure an exceptional patient experience
• Practice broad-scope medicine and serve as a trusted partner in patients' long-term health and wellness

Qualifications

Required

• MD or DO from an accredited medical school
• Board Certified or Board Eligible in Family Medicine or Internal Medicine
• Active Missouri medical license or ability to obtain prior to start date
• Strong commitment to evidence-based medicine and high-quality patient care
• Excellent communication and relationship-building skills
• Passion for patient-centered primary care
• Professional malpractice history in good standing
• Willingness and ability to serve as a Supervisory Physician under Missouri collaborative practice requirements

Preferred

• Experience in Direct Primary Care, concierge medicine, primary care, or other relationship-based care models
• Previous experience supervising or collaborating with Nurse Practitioners or other Advanced Practice Providers
• Comfort managing a broad range of primary care conditions independently
• Interest in practice growth and innovation
• Community-oriented mindset and commitment to building lasting patient relationships

Working Hours

• Monday through Friday
• Four clinic days per week
• One dedicated administrative day per week
• No call

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About Kerix

Kerix is a healthcare organization focused exclusively on membership-based medicine. We believe healthcare should be personal, accessible, and proactive—and that stronger relationships between clinicians and patients lead to better care and better outcomes.

Kerix operates through two business units:

KerixHealth owns and operates Direct Primary Care clinics across the country, providing patients with more time with their care teams, convenient access, and a proactive approach to their health. Our organization includes KerixHealth and AdvocateMD.

Specialdocs Consultants helps physicians transition from traditional fee-for-service medicine to concierge medicine, creating more sustainable and relationship-centered practices.

Across our organization, we are united by a shared mission: to restore healthcare by putting people back at the center of care. Our model emphasizes same- or next-day appointments, longer and more meaningful visits, direct access to care teams, preventive care, transparent pricing, and coordination throughout the healthcare journey.

Kerix is headquartered in Austin, Texas, with teams and practices located across the country. Learn more at Kerix.com .