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APPs and physicians: A team-based approach to better care

Published: October 7, 2026
A doctor works with an APP on a case.

When looking for a primary care provider, many patients automatically search for a physician. But appointments with nurse practitioners (NPs) and physician assistants (PAs), known collectively as Advanced Practice Providers (APPs), can be just as important to your healthcare journey.

At Piedmont, APPs work closely with physicians to provide high-quality, patient-centered care. Together, they help ensure patients receive the right care at the right time.

What is an APP?

APPs are highly trained clinicians who diagnose illnesses, prescribe medications, order tests, manage chronic conditions and provide preventive care.

"APPs are independent providers who build long-term relationships with patients while practicing in collaboration with physicians," says Jason Hefner, MD, a Piedmont primary care physician.

Many APPs serve as a patient's primary care provider while working closely with physicians when consultation or additional expertise is needed.

A collaborative care model

One common misconception is that APPs work separately from physicians. In reality, collaboration is central to the care model.

"The physician is my go-to person when I have a complex case or need another perspective," says Victoria Umstead, a Family Nurse Practitioner at Piedmont Physicians of Canton. "We work as a team, so patients receive the best care possible."

Piedmont supports this approach through an APP onboarding program that helps APPs and physicians align clinical practices, communication and patient care expectations.

What can APPs treat?

APPs routinely diagnose and treat many of the same conditions seen in primary care, including:

  • Diabetes
  • High blood pressure
  • High cholesterol
  • Heart disease
  • Respiratory illnesses
  • Minor injuries
  • Depression and anxiety
  • Preventive health concerns

They can also order lab work, imaging studies and screenings, and refer patients to specialists when needed.

"Most of us see everything from newborns to older adults," Umstead says. "Primary care is often described as cradle-to-grave care."

Quality care and strong relationships

Research shows APPs provide safe, effective care with outcomes comparable to physicians for many routine and chronic conditions.

According to Dr. Hefner, APPs often receive exceptionally high patient satisfaction scores.

"Many come from nursing backgrounds where relationship-building and patient-centered care are deeply ingrained," he says.

Umstead agrees.

"It's not just about treating blood pressure or diabetes," she says. "It's about understanding the whole person."

Expanding access to care

APPs also help address one of healthcare's biggest challenges: access.

As Georgia faces a shortage of primary care providers, especially in rural and underserved communities, APPs help increase appointment availability and reduce wait times.

"Our communities need APPs," Dr. Hefner says. "As Georgia's population grows and healthcare needs become more complex, APPs are essential to meeting that demand."

A trusted part of your care team

Both Umstead and Dr. Hefner encourage patients to keep an open mind about seeing an APP.

"Some of the providers I trust most are advanced practice providers," Dr. Hefner says.

Whether you see a physician or an APP, you're supported by a collaborative team focused on your health and well-being. The most important thing isn't which provider you see. It's getting the care you need, when you need it, from a team dedicated to helping you stay healthy.

To find a primary care provider near you, visit www.piedmont.org.

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