Extended Hours Appointments

Manish Patel

CEO & Co-Founder

Manish Patel, leveraging his IT and hospitality industry background, has overseen the growth of Avance Care since its inception in 2008. He orchestrated the establishment of the clinically integrated system of comprehensive primary care practices and enrollment of 60,000+ patient base while maintaining profitable revenue growth. Manish was the architect of Avance Care’s unique operating model, information technology, and workflow systems that enable the company’s patient-centered primary care delivery system that naturally supports value-based healthcare. He prides himself on being the company’s culture coach where he works to promote patient, provider, and staff satisfaction, and efficient operation.

Pratik V. Desai, MD, FACC

Owner & Co-Founder

Dr. Desai has been a practicing cardiologist since 2000. He co-founded Avance Care with CEO Manish Patel in 2008, with a vision to change healthcare by offering convenient, accessible and comprehensive primary care. He believed that overall healthcare cost could be reduced and outcomes improved, if primary care was convenient and comprehensive.  Being a practicing physician, he is sensitive to the demands placed on providers and ensured that from day one, a core tenet of Avance Care was ensuring appropriate work-life balance as well as enabling high quality care supported by more patient time and enhanced support systems.

Joanne Fruth, MD

Chief Medical Officer

Dr. Fruth is a Fellow in the American Academy of Family Physicians with over 25 years of clinical experience. She brings her love of teaching to her role as Chief Medical Officer at Avance Care. Dr. Fruth encourages medical professionals to adhere to Dr. Atul Gawande’s research that “checklists saves lives” and to apply these principles to primary care.  Physicians and advanced practice providers are inspired to systematically collect the grains of sand that comprise superior preventative and chronic care, then use their individuality as the cement that builds the foundation of an individual’s good health.

Levi Boyd

Chief Financial Officer

Levi joined Avance Care from the investment banking industry.  He met the founders in 2012 and served as an early advisor, later joining as CFO in 2014.  In addition to overseeing the financial health of Avance Care, he directs the company’s growth and corporate development efforts.   In that time, Levi has directed a growth strategy resulting in a tenfold increase in revenue and a quintupling in the number of Avance Care locations, while maintaining positive cash each of those years.

Jon Fowler

Vice President of Revenue Cycle Management

Jon Fowler has been with Avance since 2012, wearing many hats along the way. He currently leads the billing and quality improvement teams responsible for the improved outcomes, lower costs, and better value Avance Care is delivering in the Triangle market. Everyone knows Jon as their go-to for operational intelligence and creative workflow designs. He ensures a world-class environment for primary care providers to do their best work.

Prashant Dangash

Chief Technology Officer

Prashant Dangash is responsible for focusing on technologies that will grow the organization externally and continue to push the organization from technology enabled to technology driven. He has decades of experience in building and implementing Enterprise IT solutions across various industries and managing large global engineering organizations. His charter is to transform Avance Care from a tech-enabled to a tech-driven health care system that uses cutting edge technology to serve patients better, drive efficiency and generate better health outcomes. He holds a graduate degree in business administration from California State University and an undergraduate degree in engineering from University of Pune.

Frank Manole, DNP, MBA, FAANP

Vice President of Operations

Dr. Manole is a business leader, accomplished clinician, and educator. He is an active fellow of AANP, and serves as North Carolina AANP state representative. He has held teaching appointments at Rutgers University, UNC Chapel Hill, and serves as faculty/content expert for ANCC. Dr. Manole also oversaw clinical operations for over 40 clinics in his role of senior practice manager for CVS Health – MinuteClinic. His goal at Avance Care is to develop and execute strategies and sound operations that will change the landscape of healthcare, and improve access to quality, affordable care to all our communities.

Reynolds (Tad) Clodfelter, Psy.D.

Vice President of Wellness Services

Dr. Clodfelter is a licensed, clinical psychologist in the state of North Carolina and a behavioral health and addictions specialist. Dr. Clodfelter is a proven leader in behavioral health, addictions treatment and strategy, and has guided companies and many individual leaders to grow their clinical businesses and increase market share. He promotes whole-person health and believes that an integrated approach to healthcare and treatment is vital to sustainable clinical results. Accordingly, Dr. Clodfelter believes mental health, nutrition, and spiritual wellness are critical components of overall health and wellness. As Vice President of Wellness Services, Dr. Clodfelter targets high-quality behavioral healthcare solutions and policies to grow behavioral, nutrition, and psychiatry services for our patients.

Christina Dauer, MPH, RD, LDN, CDCES

Director of Nutrition Services

Christina Dauer is a registered dietitian and certified diabetes care and education specialist with 10 years of experience in her field. She endorses a holistic approach to nutrition and lifestyle change. As Director of Nutrition Services at Avance Care, she provides clinical oversight, leads a team of highly skilled dietitians, and guides the strategic growth of the nutrition service line. She believes one of the most important responsibilities of both a dietitian and a leader is to nurture curiosity in herself and others by asking meaningful questions and encouraging the exploration of new ideas—to create a culture of continuous learning and knowledge sharing.

Daniel Hauschild Psy.D., HSPP

Director of Behavioral Wellness

Dr. Hauschild has worked as a psychologist for over 25 years, in private practice and across diverse medical settings involving inter-disciplinary settings, underserved populations, and close relationships with family practice medicine.  First-hand experience with patients suffering due to the inefficient, fragmented, and prohibitively-expensive modern healthcare system inspired him to join with Avance Care’s innovative primary care team.  Dr. Hauschild’s role has been to develop the Behavioral Wellness Service Line and work to continually evolve it into an ever more thoroughly integrated component of our comprehensive treatment model, which effectively improves the quality of patient care while decreasing overall costs.

Kelly Pisarski

Director of Care Management

Kelly Pisarski has worked in community mental health and primary care for 25 years.  As both a direct care staff and administrator, she combines her training as a case manager and her passion for improving the health of the community to connect patients to comprehensive, quality care. As Director of Care Management at Avance Care, she applies the integrated primary care model to enhance care coordination and collaboration among a team of health care providers, helping patients and caregivers manage mental and medical health conditions more effectively.

Dessa Granger

Director of Human Resources

In January 2013, Dessa joined Avance Care as an intern completing her last semester of college with a BS in Health Services Management from East Carolina University School of Allied Health.  Initially, she focused on learning the administrative, support, and management positions of the organization such as accounts receivable, collections, and office management. In 2015, due to positive organizational growth, Dessa accepted the position of Human Resources Manager and created a formal human resources department that has successfully expanded with the organization. It now offers numerous services to all managers and a variety of flexible employee benefits that can be personalized to fit each employee’s situation. During this time, she also earned a MS in Human Relations and Business and an MS Certificate in Conflict Management and Resolution from Amberton University. Dessa is now the Director of Human Resources. She says it is her goal to support the mission of the organization by providing services which help the organization attract, retain, and reward competent and dedicated staff who share the commitment of fostering the Avance Care culture. This culture values employees through fair treatment, open communication, personal accountability, trust, and mutual respect to achieve the organizations initiatives through its most value asset, its employees.

Madhu Barad

Director of Information Technology

As the Director of Information Technology, Madhu has the responsibility to provide robust and secure IT systems to the organization. Her charter includes leveraging cutting edge technology to improve patient experience and organizational efficiency, maintain the highest level of security of IT systems and patient data, and full adherence to the HIPAA compliance standards. Madhu is a veteran of 24 years in IT and the health care industry, with a proven record in building enterprise-grade solutions and platforms in the patient, provider and payor domain. She has rich experience in IT management business practices and healthcare technologies. She has deep expertise in managing large global teams working on solution engineering projects.

Phalan Bolden, MSN, MBA, FNP-C

Director of Practice Operations

Phalan L. Bolden is a long-standing Family Nurse Practitioner. She has served across many specialties and subspecialties in both clinical and operational leadership roles with a strong focus on value-based care. Ms. Bolden has provided leadership and oversight over multi-specialty clinical practices, resulting in implementation of many high-quality clinical initiatives within value-based care. Her goal at Avance Care is to support the implementation of day to day practice-facing operations in an efficient and comprehensive manner that provides superior support and facilitates meaningful projects and initiatives that impact our patient care goals.

Ted Cole

Director of Business Development

Ted Cole comes to Avance Care with 19 years of experience in the pharmaceutical/medical device field, working with both Sanofi Pharmaceuticals and Abbot Laboratories. He is an experienced, award-winning professional with an impressive history of building relationships and success in the medical device and pharmaceutical industry. Mr. Cole has provided leadership and oversight of multiple regional growth strategies with both organizations and developed over $15 million in total revenue while also overseeing his position’s day-to-day operational duties.  He has an exceptional ability to build and lead teams that meet and exceed designated goals and expectations.  He attended Elon University, where he graduated with a Bachelor of Science Degree in Business Administration. Ted’s goal at Avance Care will be to ensure strong and sensible growth for our organization and fully realize AvanceEngage’s operational potential.

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