Membership-Based Health Practice

Located in Marietta, Georgia

Offering a boutique healthcare experience with in-person visits in the Atlanta suburb of East Cobb and Telehealth services to AR, FL, GA and TX residents.

At Monarch, we take a comprehensive approach to hormonally-driven health concerns, focusing on reducing disease risks and improving overall well-being.  It’s time for a new approach to health, partnering with you wherever you may be in your health journey.

New Patient Experience

The Monarch Difference

Our direct healthcare model removes barriers between you and your clinician—forming a healthcare partnership.

As a member, you’ll experience extended, unrushed visits, tailored health plans, and access to advanced genetic, hormone, and diagnostic testing. Your personalized care includes recommendations for supplements and vitamins, regular monitoring and check-ins with our nurse, and direct communication with the Monarch Health team on our private communication platform.

A healthcare experience designed to prioritize you.

  • Hormone Health – Perimenopause & Menopause, Perinatal & Postpartum, PMS/PMDD, and Teens

  • Thyroid Disorders—Hypothyroidism + Hashimoto’s Thyroiditis

  • Weight Loss Management & Metabolic Health

  • Sexual Health for Men and Women including—Low Sexual Desire, Pain with Intercourse (Dyspareunia), Anorgasmia, Erectile Dysfunction, Low Testosterone

  • Urinary Incontinence and other bladder concerns

  • Midlife Sleep Disorders

  • Bone Health—Osteopenia and Osteoporosis

  • Preconception Planning

  • Endometriosis

  • Polycystic Ovarian Syndrome (PCOS)

  • Gut Health

  • Mental Health

  • Cardiovascular Disease Risk Assessment

  • Hereditary Cancer Risk Testing & Assessment (coming soon)

  • Hereditary Genetic Cancer Mutation Screening – BRCA 1-2 (Myriad Genetics)

Areas of Expertise

Patient Experience

What to expect at Monarch Health

  • Let’s Get Started

    Your visit includes a nurse-led pre-visit to coordinate lab work, followed by a comprehensive 60-minute consultation with Dr. Piasta. Together, you will review your health history, concerns, and goals, and develop a personalized plan of care tailored to your needs.

    Patients who wish to continue care with Jackie Piasta, NP, and Monarch Health beyond the initial consultation are required to enroll in our membership. Membership begins the month following the initial visit.

    New patient appointments are currently scheduling 2–3 months in advance.

    Initial Consultation Fee: $600

  • Follow-up visits are typically 30–40 minutes and may be conducted either in person or virtually.

    Ongoing follow-up care is reserved for our membership patients.

    For individuals who do not plan to continue with the practice, a one-time follow-up visit after the initial consultation is available for $450.

  • Medically supervised weight loss plans available with our membership.

    *Medication costs not included.

  • We are offering educational consultations for individuals located out of Arkansas, Georgia, Texas and Florida.

    This visit is ideal for those who would like to learn more about their health or a particular health condition.

    Educational consults typically last between 45 minutes and up to 1 hour in length.

    *These visits do not involve the prescribing of medications.

    $450

  • Included with membership

    Courtesy prescription refills, referral to pelvic floor physical therapist (GA patients), vacation medication needs, or minor medical concerns such as cough, cold, flu symptoms.

  • We offer a yearly well woman visit in our inviting office room for our membership patients. This includes pap smear collection (if indicated) and ordering of routine lab work, both of which are billed to your medical insurance.

  • We offer limited gynecologic care at our office including but not limited to contraception, minor procedures such as biopsies and IUD insertions, cultures for infections.

We are a membership-based boutique practice committed to providing you the best, most personalized care possible.

Monarch Health is not in-network with insurance providers.

We currently treat patients in person in GA and offer telehealth appointments for those located in AR, GA, FL, and TX.

Explore our Frequently Asked Questions