Meet the Team
Care in the right hands
Adam Courchaine, DMS, PA-C
PHYSICIAN ASSISTANT AND PRESIDENT
Adam Courchaine is a distinguished healthcare professional with a diverse and accomplished career spanning nearly two decades. He has practiced as a Physician Assistant since 2006 and earned his Doctorate of Medical Sciences in 2022 from Lincoln Memorial University. He completed his Master’s in Physician Assistant Studies at the Massachusetts College of Pharmacy and Health Sciences and earned a Bachelor of Science in Exercise Science, cum laude, from the University of Massachusetts Amherst. This academic foundation supported his early career as an exercise physiologist and pulmonary technologist at Boston Children’s Hospital. His clinical experience includes internal medicine, pediatrics, geriatrics, urgent care, and primary care.
Since 2012, Adam has served in the Army National Guard, where he holds the rank of Major in Aeromedical Medicine within an aviation battalion. He has deployed twice in support of military operations, serving in the Middle East in 2017 and Kosovo in 2020, reflecting a strong and ongoing commitment to service.
In 2018, after recognizing significant limitations within the traditional U.S. healthcare system, Adam founded NuMed Direct Primary Care. NuMed was created to emphasize proactive, relationship-based medicine with a focus on prevention, lifestyle optimization, and long-term health rather than reactive disease management. His clinical approach integrates evidence-based medicine with advanced diagnostics, individualized care planning, and a strong emphasis on patient education and shared decision-making.
In 2025, Adam completed advanced certification through WorldLink Medical in bioidentical hormone replacement therapy (BHRT) and longevity-focused care. This rigorous program, taught by a pioneer in BHRT with decades of clinical experience, emphasizes evidence-based application through extensive literature review and research. The training focuses not only on addressing hormone deficiency symptoms, but also on the role of BHRT in supporting cardiovascular health, bone integrity, cognitive function, and metabolic wellness, ensuring a comprehensive and safety-focused approach to hormone optimization.
Outside of clinical practice, Adam enjoys spending time outdoors with his family and four dogs, often hiking, rucking, and engaging in functional fitness activities.
Adam Courchaine is a distinguished healthcare professional with a diverse and accomplished career spanning nearly two decades. He has practiced as a Physician Assistant since 2006 and earned his Doctorate of Medical Sciences in 2022 from Lincoln Memorial University. He completed his Master’s in Physician Assistant Studies at the Massachusetts College of Pharmacy and Health Sciences and earned a Bachelor of Science in Exercise Science, cum laude, from the University of Massachusetts Amherst. This academic foundation supported his early career as an exercise physiologist and pulmonary technologist at Boston Children’s Hospital. His clinical experience includes internal medicine, pediatrics, geriatrics, urgent care, and primary care.
Since 2012, Adam has served in the Army National Guard, where he holds the rank of Major in Aeromedical Medicine within an aviation battalion. He has deployed twice in support of military operations, serving in the Middle East in 2017 and Kosovo in 2020, reflecting a strong and ongoing commitment to service.
In 2018, after recognizing significant limitations within the traditional U.S. healthcare system, Adam founded NuMed Direct Primary Care. NuMed was created to emphasize proactive, relationship-based medicine with a focus on prevention, lifestyle optimization, and long-term health rather than reactive disease management. His clinical approach integrates evidence-based medicine with advanced diagnostics, individualized care planning, and a strong emphasis on patient education and shared decision-making.
In 2025, Adam completed advanced certification through WorldLink Medical in bioidentical hormone replacement therapy (BHRT) and longevity-focused care. This rigorous program, taught by a pioneer in BHRT with decades of clinical experience, emphasizes evidence-based application through extensive literature review and research. The training focuses not only on addressing hormone deficiency symptoms, but also on the role of BHRT in supporting cardiovascular health, bone integrity, cognitive function, and metabolic wellness, ensuring a comprehensive and safety-focused approach to hormone optimization.
Outside of clinical practice, Adam enjoys spending time outdoors with his family and four dogs, often hiking, rucking, and engaging in functional fitness activities.
Dara Courchaine, RN
REGISTERED NURSE
After earning a Bachelor of Arts from Hartwick College in 1996, Dara chose to pursue a career in nursing and completed her Registered Nurse (RN) degree at Massachusetts Bay Community College in 2003. She spent five years working on a Medical Telemetry unit at Norwood Hospital in Massachusetts, where she developed a strong clinical foundation, before transitioning into home health nursing. Through these roles, Dara gained broad experience caring for patients across the lifespan, with a particular emphasis on education, prevention, and long-term health support.
In 2019, Dara joined NuMed Direct Primary Care with a shared commitment to prioritizing health, prevention, and whole-person care. She is a Registered Nurse who serves in a patient integration and health insight role, helping patients understand their health history, reduce overwhelm, and navigate care with greater clarity and confidence. Drawing on experience in both hospital and home health settings, as well as functional medicine training through the Kresser Institute, Dara supports patients in making sense of complex information and integrating care plans into everyday life in a practical, sustainable way. Her approach is grounded, compassionate, and focused on education rather than diagnosis or treatment.
Outside of her professional role, Dara lives with her husband, Adam, their two children, and three dogs. She has a strong passion for healthy living and enjoys spending time outdoors, exploring nature, hiking, and sharing new adventures with her family.
After earning a Bachelor of Arts from Hartwick College in 1996, Dara chose to pursue a career in nursing and completed her Registered Nurse (RN) degree at Massachusetts Bay Community College in 2003. She spent five years working on a Medical Telemetry unit at Norwood Hospital in Massachusetts, where she developed a strong clinical foundation, before transitioning into home health nursing. Through these roles, Dara gained broad experience caring for patients across the lifespan, with a particular emphasis on education, prevention, and long-term health support.
In 2019, Dara joined NuMed Direct Primary Care with a shared commitment to prioritizing health, prevention, and whole-person care. She is a Registered Nurse who serves in a patient integration and health insight role, helping patients understand their health history, reduce overwhelm, and navigate care with greater clarity and confidence. Drawing on experience in both hospital and home health settings, as well as functional medicine training through the Kresser Institute, Dara supports patients in making sense of complex information and integrating care plans into everyday life in a practical, sustainable way. Her approach is grounded, compassionate, and focused on education rather than diagnosis or treatment.
Outside of her professional role, Dara lives with her husband, Adam, their two children, and three dogs. She has a strong passion for healthy living and enjoys spending time outdoors, exploring nature, hiking, and sharing new adventures with her family.
Hannah Duncan, PA-C
PHYSICIAN ASSISTANT
Hannah is a board-certified physician assistant who graduated from Bryant University’s PA program in 2017. Her clinical experience spans a variety of specialties, including adult and pediatric emergency medicine as well as dermatology. She has also served in the National Guard alongside practice owner Adam as an aeromedical physician assistant, providing care in demanding and dynamic environments.
Dedicated to patient-centered, evidence-based care, Hannah takes a holistic approach that supports the whole person—mind, body, and lifestyle. She values building strong, trusting relationships with her patients and empowering them to take an active role in their health and well-being.
Outside of work, Hannah enjoys spending time in the mountains and planning international adventures with her husband.
Dedicated to patient-centered, evidence-based care, Hannah takes a holistic approach that supports the whole person—mind, body, and lifestyle. She values building strong, trusting relationships with her patients and empowering them to take an active role in their health and well-being.
Outside of work, Hannah enjoys spending time in the mountains and planning international adventures with her husband.
Dave Jooste
CHIEF TECHNOLOGY OFFICER
Dave is a cybersecurity expert with over 15 years of experience in technology. Originally from South Africa, starting his career in covert operations, he discovered his passion for tech. In 2011, after working for the United Arab Emirates in rescue operations he moved to the United States and quickly learned that his past experiences and certifications were not recognized by United States certification authorities.
He started working as a minimum wage part-time cashier, where he learned the hard way what it meant to establish oneself in American society. He decided to accept the unspoken American dream challenge and started his path of reeducation and certification. After one year of arriving in the US, and with an additional medical background, Dave enlisted in the United States Army as a combat medic and currently serves to this day. He also engaged in certifications through the Department of Defense, Department of Homeland Security, and civilian institutions. He holds a Bachelor of Science in Information Systems and Security, and South African education in Psychology, Industrial Psychology, and Child Psychology. His certifications include cybersecurity, forensics, networking, web development, cloud administration, business operations, criminal justice systems, ethical hacking, and threat analysis.
Dave is a cybersecurity expert with over 15 years of experience in technology. Originally from South Africa, starting his career in covert operations, he discovered his passion for tech. In 2011, after working for the United Arab Emirates in rescue operations he moved to the United States and quickly learned that his past experiences and certifications were not recognized by United States certification authorities.
He started working as a minimum wage part-time cashier, where he learned the hard way what it meant to establish oneself in American society. He decided to accept the unspoken American dream challenge and started his path of reeducation and certification. After one year of arriving in the US, and with an additional medical background, Dave enlisted in the United States Army as a combat medic and currently serves to this day. He also engaged in certifications through the Department of Defense, Department of Homeland Security, and civilian institutions. He holds a Bachelor of Science in Information Systems and Security, and South African education in Psychology, Industrial Psychology, and Child Psychology. His certifications include cybersecurity, forensics, networking, web development, cloud administration, business operations, criminal justice systems, ethical hacking, and threat analysis.
David E
Adam and Dara are not only extremely knowledgeable about all things medical-related, but they genuinely care about you as well! They take the time to get to know their patients and focus on the root cause of the problem instead of just covering up symptoms with medications. 100% recommend this practice!!
Sharon B
Adam and his team are amazing. If you have an issue he will go above and beyond to help you with it. Not something that happens in this medical world very often at all. He is for the patient and the success of the patient and willing to help in anyway he can for your success. He’s and outside of the box, intelligent thinker. Would recommend his practice all day. Grateful to have his support!!
Cinthia D
Dr Adam goes above and beyond to provide an exceptional care and make all the process smooth and efficient. His availability, knowledge, and commitment to continuous improvement reflects his dedication on providing the best to his patients. In case of urgent calls and concerns, he and Dara always gave prompt guidance for me and for my husband. I am very grateful for working with them. Thanks Dr Adam and Dara!