Primary Care at Home - Pepi Granat, MD
family medicine
Primary Care at Home — Personalized Family Medicine in Greater Miami, Homestead, and Through the Lower Keys
Comprehensive, preventive, and ongoing medical care delivered in the comfort and privacy of your home is the core of our practice. Primary care at home allows patients to access the full scope of family medicine services without the inconvenience and exposure risks that often accompany clinic visits. Whether you’re seeking routine wellness exams, chronic disease management, or preventive screenings, Pepi Granat, MD brings trusted primary care directly to you.
primary care
Why primary care at home matters
Primary care is the foundation of good health — it coordinates care, manages chronic conditions, and keeps preventative strategies on track. Providing primary care at home enhances access for people with mobility challenges, reduces exposure to infectious settings, and lets clinicians assess the real-world factors that influence health, like home safety, nutrition, and caregiver support. Studies show that home-based primary care can reduce hospital admissions, cut ER usage, and improve chronic disease outcomes when implemented consistently.
Key benefits of primary care at home
Convenience
No travel or long waits — we schedule visits around your needs.
Personalized attention
Extended time allows for thorough discussion, individualized planning, and medication review.
Holistic assessment
In-home evaluations reveal environmental and social issues affecting health that are often missed in clinical settings.
Prevention-focused
We emphasize screenings, vaccinations, counseling, and lifestyle changes that reduce long-term risk.
Continuity of care
Ongoing relationships with a single physician support better chronic disease control and improved adherence.
Scope of primary care
visits at home
Our primary care at home service includes a wide array of clinical activities designed to maintain and improve health across the lifespan:
1) Comprehensive wellness and preventive care
- Annual wellness exams tailored to age and risk
- Screening tests and health risk assessments
- Cancer screening coordination (mammography, colonoscopy scheduling)
- Vaccinations and immunizations delivered at home (influenza, pneumococcal, shingles, Tdap, etc.)
2) Chronic disease management
- Diabetes care including A1c review, medication adjustment, and lifestyle counseling
- Hypertension management with regular BP monitoring and medication reconciliation
- COPD and asthma monitoring with symptom review and inhaler technique education
- Heart disease follow-up with medication optimization and risk factor modification
- Chronic kidney disease monitoring, lab coordination, and referrals as needed
3) Medication management and reconciliation
- Thorough medication review for efficacy, side effects, and interactions
- Deprescribing when appropriate to reduce polypharmacy risks
- Education for patients and caregivers regarding dosing, side effects, and adherence strategies
4) Mental health and behavioral counseling
- Screening for depression, anxiety, and cognitive change
- Counseling for sleep hygiene, stress management, and healthy behaviors
- Coordination with mental health specialists when necessary
5) Point-of-care testing and lab coordination
- On-site fingerstick testing and basic point-of-care labs as clinically appropriate
- Coordination with local labs or mobile phlebotomy for comprehensive testing
- Rapid review and follow-up on test results
6) Telehealth integration and follow-up
- Virtual visits for medication adjustments, test result reviews, and routine check-ins
- Combined virtual and in-person care plans for efficiency
How a
primary care
Home visit structure
- Medication and history review
- Focused or comprehensive physical examination
- Point-of-care tests as needed
- Preventive counseling and personalized health planning
- Documentation and written instructions provided
Follow-up and continuity
- We schedule follow-ups either in-person or via telehealth.
- We communicate with specialists and other providers with your consent.
- We maintain records to track progress, screenings, and goal attainment.
Benefits for caregivers and families
- Clear, written instructions and education provided at each visit
- Reduced burden of travel for elderly or disabled loved ones
- Medication reconciliation to prevent adverse drug events
- Family meetings and care planning to align expectations and support
Insurance and payment
We work with many insurance plans and provide clear information about billing and coverage. Insurance acceptance can vary by plan; please call our office at (305) 661-7609 to confirm coverage details. For patients without coverage or those seeking concierge options, we offer transparent self-pay pricing.
Why Pepi Granat, MD?
- Long-standing local experience and trust (since 1962)
- A focus on continuity, prevention, and practical, evidence-based care
- On-site evaluation that incorporates environmental and social determinants of health
- Clear communication and care coordination across providers and settings
Scheduling and intake
Call (305) 661-7609
to set up an initial appointment. Our intake staff collects medical history, a list of medications, and any recent hospital or specialist notes.
Selected FAQs —
Primary Care at Home
What’s included in an annual home wellness visit?
An annual home wellness visit includes a comprehensive history, focused or full physical exam, medication review, preventive screening plan, vaccinations if needed, counseling on health behaviors, and coordination of recommended diagnostic testing.
Can you provide home-based vaccinations or blood draws?
Yes. We provide many vaccinations at home and coordinate mobile phlebotomy for blood draws when necessary.
How often should chronic conditions be monitored at home?
Frequency depends on the condition. Diabetes may require visits every few months for A1c monitoring and medication adjustments. Hypertension may require monthly or bi-monthly checks initially. We tailor follow-up schedules to clinical need.
Do you provide telehealth follow-ups?
Yes. Telehealth visits are an efficient way to follow up on test results, medication changes, and ongoing symptom monitoring. We combine telehealth with in-person visits as clinically appropriate.
Contact and scheduling
To schedule a primary care home visit or ask about preventive services at home in Greater Miami, Homestead, and through the Lower Keys, call (305) 661-7609. For same-day needs, please indicate the urgency when calling so our team can provide prompt guidance and scheduling support.
Pepi Granat, MD is committed to delivering comprehensive, respectful, and effective primary care at home — so you can maintain health and independence in the environment that matters most.