Hiring a Medical Director in Virginia & Collaborating Physician
Medical Directors in Virginia
Your Trusted Partner for Compliance and Success
Virginia’s healthcare and wellness market is expanding rapidly—especially medspas, concierge practices, hormone therapy clinics, and telehealth services. With growth comes increased oversight from the Virginia Board of Medicine, making robust compliance systems more important than ever.
Medical Director Co. provides Virginia-licensed physicians ready to onboard in 12 hours, ensuring your clinic can operate without delays or regulatory risks. Plans begin at $799/month and include written collaboration agreements, delegation & supervision protocols, prescriptive authority documentation, malpractice coverage facilitation, and ongoing compliance support.
With Medical Director Co., you don’t just get a physician; you get a strategic partner committed to helping your clinic operate safely, ethically, and efficiently.
Common Pain Points for Virginia Providers
Opening or managing a clinic in Virginia can be challenging when compliance slows down operations.
Many providers experience issues such as:
Legal and financial risks
Clinic launches delayed by the inability to secure a VA-licensed MD.
Restrictive supervision or unresponsive MDs
Supervising physician engagement or availability is poor.
Operational delays
Operational delays
Risk of regulatory non-compliance (practice agreements, supervision, delegation).
Interested in Becoming a Medical Director in Virginia?
Licensed physicians in Virginia are increasingly in demand for medical director and collaborating physician roles across a wide range of healthcare settings. Whether your expertise is in aesthetics, IV hydration, weight loss, telehealth, or primary care, there are numerous opportunities available throughout the state.
Healthcare markets in Richmond, Virginia Beach, Arlington, and Norfolk are experiencing rapid growth in medspas, wellness clinics, and telehealth services—creating a strong need for physician oversight. These roles allow you to ensure compliance, guide clinical teams, and support the safe expansion of healthcare services in both urban and suburban areas.
With options ranging from part-time consulting to full-time leadership, Medical Director Co. helps Virginia physicians connect directly with reputable healthcare organizations seeking experienced medical oversight.
Why Choose
Why Choose Our VA-Licensed Medical Directors & Collaborating Physicians
When you choose Medical Director Co., you partner with a team dedicated to compliance, operational clarity, and high-quality patient care.
Affordable Pricing
From $799/month—no hidden startup fees
Fast Placement
12-hour placement guarantee
Agreement
Written practice/supervision agreements included
Chart Reviews
Includes agreements, delegation, and malpractice coverage
Complete Support
Virginia Expertise
All of our Medical Directors have extensive clinical practice experience, hold board certification, and possess the necessary license, ensuring the highest standards of care.
Our goal is to make compliance efficient and predictable, giving your clinic the ability to grow with confidence.
Who We
Serve In Virginia
We support healthcare professionals and clinic operators across Virginia, ensuring each provider has the oversight, structure, and clinical partnership needed to deliver safe, high-quality care.
APRNs / Nurse Practitioners (NPs)
Nurse Practitioners in Virginia rely on collaborating physicians for prescriptive authority, clinical oversight, and support as they transition toward independent or autonomous practice. All collaborating physicians maintain a current state medical license in Virginia, ensuring legal compliance for NP practice. Our Medical Directors help NPs establish strong practice agreements, develop clinical protocols, and maintain compliance with Virginia Board of Nursing requirements. Whether you’re running a medspa, primary care clinic, or telehealth service, we provide the guidance and regulatory support you need to operate confidently.
Physician Assistants (PAs)
PAs in Virginia must work under a supervising physician through a clearly defined Practice Agreement. We provide PAs with Medical Directors who understand task delegation, prescriptive authority oversight, and documentation standards. For clinics operating across state lines or offering telehealth services, Medical Director Co. can provide supervising physicians with multiple state licensures to meet regulatory requirements. Our supervising physicians help PAs maintain compliance, strengthen clinical workflows, and ensure all delegated duties align with Virginia’s PA laws and regulatory expectations.
Physician Assistants (PAs)
For RNs performing advanced aesthetic or medical procedures—such as injectables, microneedling, or laser treatments—physician oversight is required. We match nurses with Medical Directors who understand both aesthetic medicine and clinical compliance. Our physicians help RNs verify training, create procedure-specific protocols, and maintain proper documentation, ensuring every patient interaction meets Virginia’s standards for safety and care. Medical Directors can also assist RNs in implementing wellness screenings as part of their patient care protocols, supporting comprehensive health management for clients.
Clinic Owners & Operators
Clinic owners, whether launching a medspa, weight-loss program, telehealth service, or concierge wellness practice, need reliable, responsive physician oversight to meet Virginia’s regulatory requirements. We support owners by providing experienced physicians who understand business workflows, regulatory expectations, and operational efficiency.
How a Medical Director Supports Providers in Virginia
A Virginia Medical Director plays a central role in maintaining compliance, ensuring safe clinical operations, and supporting providers in delivering high-quality care. Their responsibilities include:
- Oversees and manages written practice agreements
- Ensures legal prescriptive authority and oversight
- Develops and reviews delegation protocols for non-physicians
- Performs chart audits and provides compliance support
- Helps scale operations without regulatory risk
Virginia Oversight Compliance Rules
Medical Director & Supervising Physician Role in Virginia
The Medical Director is responsible for overseeing clinical operations, ensuring compliance with healthcare regulations, and providing leadership in managed care and health services. The Virginia Board of Medicine regulates responsibilities for medical directors and supervising physicians. Only licensed MDs and DOs may supervise or delegate medical procedures. Among the fundamental components required for the position is board certification in an AOA-recognized specialty, which verifies the physician's professional credentials. Physicians must remain actively involved in delegated care by documenting, communicating, and overseeing it.
Nurse Practitioner (NP) Collaboration & Practice Authority
Virginia is a reduced practice state, meaning most Nurse Practitioners must maintain a written Practice Agreement with a supervising physician to prescribe and perform medical care. All Nurse Practitioners and collaborating physicians must obtain a license in Virginia to practice legally. This agreement must clearly outline the NP’s scope of practice, define the extent of prescriptive authority, and establish the required communication methods and chart-review expectations between the NP and collaborating physician, ensuring full alignment with state law.
NP Autonomous Practice (Full Practice Authority)
After 5 years (9,000 hours) of full-time clinical experience, a Nurse Practitioner may apply for autonomous practice under §54.1-2957(G). However, even autonomous NPs cannot delegate or supervise medical acts outside their certification. Medical aesthetic or invasive procedures—such as Botox, dermal fillers, or laser treatments—still require physician oversight to remain compliant with Virginia law.
Physician Assistant (PA) Supervision
PAs in Virginia must work under a written Practice Agreement with a supervising physician as required under §54.1-2952.1. This agreement must clearly outline the authorized duties, define the type of supervision required (direct or indirect), and establish the necessary chart-review protocols to ensure ongoing compliance with Virginia law. For those overseeing PA practice, experience with utilization review is preferred, as it demonstrates valuable expertise in managed care and claims determination. PAs may not operate independently, and all delegated tasks must fall within both the PA’s training and the physician’s supervisory scope.
Delegation of Medical Aesthetic Procedures
Medical spa treatments such as Botox, dermal fillers, microneedling, and laser hair removal are considered medical acts under Virginia law, meaning only a licensed physician may perform or delegate these procedures. Delegation must include clearly defined written protocols, documented training verification, and ongoing supervisory oversight to ensure competency and patient safety. All delegation decisions take into account relevant factors such as provider training and patient safety. These standards are required to remain compliant with state regulations.
Prescriptive Authority in Virginia
NPs and PAs in Virginia may prescribe medications only when they have documented physician authorization. Their Practice Agreement must clearly define the prescriptive delegation being granted, including medication categories, controlled substance limitations, and any required review processes. Prescriptive delegation is determined based on the scope of practice and other relevant factors as defined by Virginia law. These requirements ensure that prescribing remains aligned with Virginia’s administrative regulations and proper physician oversight.
Telehealth & Remote Supervision
Virginia permits physicians to supervise and collaborate with NPs and PAs through telemedicine, provided that both parties are licensed in the state and the arrangement is fully documented. Remote supervision is allowed as long as communication pathways, documentation methods, and oversight expectations are clearly established in the agreement.
Corporate Practice of Medicine (CPOM)
Virginia prohibits non-physicians from owning or controlling medical practices, requiring that clinical decision-making always remain under a licensed physician. Because of this, medspas and other healthcare businesses must either be physician-owned or operate through a compliant Management Services Organization (MSO) structure to remain aligned with Virginia’s corporate practice doctrine. Within an MSO structure, physician roles are typically assigned a specific job grade to ensure proper oversight and compliance.
Malpractice & Liability Coverage
Physicians serving as Medical Directors in Virginia must maintain malpractice insurance as required under §8.01-581.15, ensuring that oversight responsibilities are properly covered. Clinics offering delegated or supervised services must also maintain their own liability coverage to protect against risks associated with aesthetic and medical procedures.
Common Compliance Mistakes We Prevent
- Medspas offering medical services without a physician.
- NPs practicing without a current practice agreement.
- PAs performing procedures outside the authorized scope.
- Improper delegation or chart review documentation.
Types of Clinics and Institutions We Work With in Virginia
We support a diverse range of healthcare and wellness organizations across Virginia, providing physician oversight that helps each clinic operate safely, compliantly, and with confidence. Our Medical Directors understand the unique needs of different practice models and offer guidance tailored to each specialty. We also support clinics operating under an integrated plan model, which combines physical and behavioral health services to enhance coordinated care.
Virginia medspas offering Botox, fillers, microneedling, and laser treatments require active physician oversight. We connect clinics with Medical Directors who understand aesthetic procedures and the compliance requirements that govern them. Medical Directors can also help implement tobacco cessation programs as part of comprehensive wellness offerings.
Clinics prescribing GLP-1 medications or operating structured weight-management programs must adhere to prescriptive authority and protocol requirements. Our physicians support safe prescribing and regulatory alignment.
Hormone Therapy Clinics
Testosterone replacement therapy, HRT, and related wellness services require clear oversight and detailed clinical protocols. Our Medical Directors ensure these services comply with Virginia’s regulatory requirements.
Remote-care practices rely on supervising physicians who understand Virginia’s telemedicine rules. We provide oversight that supports statewide coverage while maintaining compliant documentation and communication standards.
Psychiatric Clinics & Behavioral Health Programs
Mental health practices prescribing psychiatric medications need appropriate physician involvement. We offer collaborating physicians experienced in behavioral health and telepsychiatry workflows. Our Medical Directors are also experienced in overseeing behavioral health programs to ensure quality mental health care.
Anti-Aging Clinics
Clinics providing IV therapy, regenerative treatments, or anti-aging services depend on strong physician protocols. Our Medical Directors help ensure these specialized services operate safely and within scope.
We support primary care clinics and specialty practices, including dermatology, pain management, and cardiology, with clinical oversight, quality assurance, and regulatory compliance guidance. Our strong local presence in communities across Virginia ensures that clinics receive accessible, trusted support tailored to their specific needs.
Urgent care facilities require physician-led clinical protocols, quality oversight, and support for rapid, broad-spectrum patient care services. We provide Medical Directors who help maintain safety and consistency across high-volume environments. Our teams reflect the diverse patient populations served by urgent care centers, ensuring culturally competent and inclusive care.
Hospice programs depend on physician direction for medication oversight, comfort-care protocols, and regulatory compliance. Our physicians support compassionate, compliant care for patients and families.
Virginia Service Areas / Coverage
We proudly serve clinics throughout Virginia, offering comprehensive physician oversight wherever your practice is located.
Cost & Contract Options
With Medical Director Co., Virginia clinics receive clear, predictable pricing designed to support compliance and operational stability. Our services ensure that every practice has the physician oversight and documentation required to operate safely and confidently.
$799/month
Comprehensive services
Flexible contract options
Success Stories – Virginia Clinics
“When we were preparing to open our Richmond medspa, the biggest hurdle was securing a Medical Director who actually understood aesthetic compliance in Virginia. Medical Director Co. matched us with a licensed physician in under 24 hours, handled every document we needed, and walked us through the entire delegation process. Thanks to their support, we launched on schedule and have felt fully protected ever since.”
“Our telehealth clinic was expanding across Virginia, and we struggled to find a supervising physician who could support remote oversight legally and consistently. Medical Director Co. made the process effortless. They connected us with an experienced Virginia physician who understood telemedicine regulations and helped us clean up our documentation and workflows. It was exactly the partnership we needed to scale safely.”
Frequently Asked Questions – Virginia
Do medspas in Virginia need a Medical Director?
Yes. Aesthetic medical procedures such as injectables, microneedling, and laser services require direct physician oversight under Virginia law. Without a licensed Medical Director, a medspa cannot legally offer or delegate these medical acts.
Can NPs in Virginia practice independently?
Yes—NPs may practice independently after completing 5 years (9,000 hours) of full-time clinical experience and submitting an attestation for autonomous practice. Even autonomous NPs must still follow scope-of-practice limitations, and many aesthetic or invasive procedures continue to require physician involvement.
How many NPs can a physician supervise?
A Virginia physician may supervise up to six NPs with prescriptive authority. This cap ensures that physicians maintain safe and effective oversight of all supervised practitioners.
How many PAs can a supervising physician have?
A supervising physician in Virginia may oversee up to six PAs. This limit helps ensure proper supervision, documentation, and regulatory compliance.
Can PAs perform invasive procedures?
Yes, PAs may perform invasive procedures in Virginia under the supervision of a licensed physician. For certain tasks, the Board may require direct observation or formal attestation before independent performance is allowed.
Is remote supervision allowed?
Yes, both APRNs and PAs may be supervised or collaborate remotely through telehealth when the arrangement is appropriately documented. The Practice Agreement must outline communication methods and supervision expectations to remain compliant.
How fast can I get a Virginia-licensed Medical Director?
Most clinics are matched with a Virginia-licensed physician within 12 hours. This rapid placement allows practices to open, expand, or remain compliant without operational delays.
How to Hire a Medical Director or Collaborating Physician in Virginia
Schedule a Consultation
Tell us about your practice.
Receive a Custom Quote
Tailored to your compliance and service type.
Sign the Agreement
We handle all Virginia-compliant documentation.
Launch Operations
Fully supervised and compliant within 24 hours.
Start Your Virginia Clinic Today
Don’t let compliance challenges slow down your launch or restrict your clinic’s potential. Whether you need a Medical Director for a Virginia medspa or a collaborating physician to support NP, PA, RN, or telehealth operations, Medical Director Co. provides the fastest and most dependable oversight in the state.
Connect with us today, and hire a Virginia-licensed Medical Director or Collaborating Physician within 12 hours.
