
Navigating Healthcare Compliance Issues in NP and Medical Director Collaborations
Compliance is one of the most critical topics in the healthcare industry, especially when it comes to collaborations between nurse
Find the exact rules, checklists, and resources you need to run a compliant clinic in your state.
Finding the right medical director for your practice shouldn’t be overwhelming. Our blog offers clear, practical guidance for RNs, NPs, and PAs seeking physician collaborators. Explore expert insights about everything from legal tips to partnership strategies to help you run a compliant, successful practice with confidence.

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The medical director must be a Texas-licensed physician (MD/DO) with clinical control over medical decisions.
Most medspas use a physician-owned professional entity for the clinical side, plus a separate management services organization (MSO) for the business side.
Medical directors must be Texas-licensed MDs/DOs. NPs and PAs require delegation agreements to prescribe.
The medical director must be a Florida-licensed physician (MD or DO) with ultimate authority over medical decisions.
Non-physicians may own clinics, but a Florida-licensed MD/DO must be medical/clinic director with authority over protocols, supervision, and records. MSOs handle business only.
Florida’s Health Care Clinic Act requires that each licensed clinic designate a Florida-licensed MD or DO as medical/clinic director.
Medical direction & CPOM – In California, the medical director must be a California-licensed physician (MD/DO) and retain final authority over clinical decisions.
In California, only a licensed physician (MD/DO) may direct or delegate medical services such as injectables, lasers, radiofrequency, or other energy-based procedures.
California maintains one of the most regulated frameworks for weight-loss and telehealth clinics in the nation.
New York’s medical compliance framework is defined by strict physician oversight, clear delegation limits, and robust documentation expectations.
New York remains one of the most highly regulated states for medical spas and aesthetic practices.
Only a New York–licensed MD or DO may own or control a medical practice.
Georgia restricts lay control of medical practices.
Georgia requires all medical services, including aesthetic and wellness treatments, to be delivered through a physician-owned or physician-controlled entity.
All clinical services must be delivered through a physician-owned or physician-controlled entity.
Arizona enforces the Corporate Practice of Medicine (CPOM) doctrine, requiring that only licensed physicians control medical decision-making.
Arizona requires medical services to be delivered through a physician-owned or physician-controlled entity, preserving physician authority over clinical decisions.
Clinics must be physician-owned or physician-controlled under Arizona’s Corporate Practice of Medicine (CPOM).
Corporate Practice of Medicine (CPOM) Nevada requires all medical decision-making to remain under a Nevada-licensed MD/DO.
Corporate Practice of Medicine (CPOM): Medical decision-making must remain under a Nevada-licensed MD/DO.
Medical decision-making must remain under a Nevada-licensed MD/DO.
Pennsylvania does not have a single CPOM statute; compliance is enforced through unlicensed practice prohibitions and physician unprofessional conduct rules.
Pennsylvania requires that medical procedures in medspas be directed and supervised by a Pennsylvania-licensed physician (MD or DO) with real clinical authority, not just a title.
Pennsylvania requires physician-led clinical control for weight-loss and telehealth clinics; MSOs may manage business operations but cannot influence diagnosis, treatment, prescribing, or medical records.
Ohio permits business entities and MSO models, but licensed physicians must retain real authority over diagnosis, treatment, prescribing, delegation, supervision, and quality assurance.
Ohio medspas are regulated through physician delegation, scope-of-practice, and Medical Board enforcement, not a single “medspa statute.”
Ohio requires physicians to retain authority over diagnosis, treatment, prescribing, delegation, and quality assurance; business owners and MSOs may handle only nonclinical functions.
The medical director is typically a Michigan-licensed physician (MD/DO) who maintains clinical authority over medical decisions. Business operators may manage non-clinical functions, but Michigan’s Corporate Practice of Medicine (CPOM) framework restricts non-physicians from making diagnoses, providing treatment, or prescribing.
Michigan treats injectables, lasers, and IV therapy as medical acts. A licensed physician must oversee these services.
Medical directors must be Michigan-licensed MDs or DOs.
The medical director must be a North Carolina–licensed physician (MD/DO) with clinical control over medical decision-making. Business owners may manage operations through administrative or management arrangements, but they may not control the practice of medicine.
Only a North Carolina–licensed physician (MD/DO) may serve as the medical director for medical procedures. Nonphysicians may own the business entity, but they may not practice medicine or control medical decision-making.
Medical directors must be North Carolina licensed MDs or DOs. NPs and PAs require written collaboration or supervisory arrangements to prescribe weight loss medications.
The medical director must be an Illinois-licensed physician (MD or DO) who retains authority over medical decision-making.
Only an Illinois-licensed physician (MD or DO) may serve as the medical director for medical procedures.
Medical directors must be Illinois-licensed MDs or DOs in good standing.
The medical director must be a Tennessee-licensed physician (MD/DO) who maintains responsibility for medical decision-making, supervision, and delegation of clinical services.
Only a Tennessee-licensed physician (MD or DO) can serve as a medical director or supervising physician for a medical spa.
Medical directors must be Tennessee-licensed physicians when overseeing medical services, delegation, and clinical decision-making.
The medical director must be a Washington-licensed physician, MD or DO, who retains authority over medical decision-making.
In Washington, medical procedures performed in a medspa setting must fall under the authority of a licensed physician, MD or DO, when a physician-led structure is used.
Medical Directors in Washington must be licensed MDs or DOs in active, good standing status.
The medical director should generally be a Massachusetts-licensed physician (MD/DO) with meaningful authority over medical decision-making, delegation, treatment protocols, and patient safety oversight.
Only a Massachusetts-licensed physician (MD/DO) can provide medical oversight for procedures that constitute the practice of medicine.
Weight loss clinics and telehealth programs in Massachusetts generally require physician oversight structures appropriate to the services being offered, particularly when clinics prescribe GLP-1 medications, compounded therapies, controlled substances, or other prescription-based treatments.
Virginia Botox clinics and med spas generally rely on a Virginia-licensed physician (MD/DO) to oversee clinical operations, patient safety standards, treatment protocols, and delegated medical services.
Only a Virginia-licensed physician (MD/DO) can provide medical oversight for procedures that may constitute the practice of medicine.
Weight loss clinics and telehealth programs in Virginia generally require physician oversight structures appropriate to the services being offered, particularly when clinics prescribe GLP-1 medications, compounded therapies, controlled substances, or other prescription-based treatments.
Oregon Botox clinics and med spas generally rely on an Oregon-licensed physician (MD/DO) to oversee clinical operations, patient safety standards, treatment protocols, and delegated medical services.
In Oregon, medical oversight for medspa and aesthetic procedures generally must remain under the authority of a licensed physician (MD/DO) when services involve the practice of medicine.
Oregon weight loss clinics and telehealth providers operate within a healthcare environment where prescribing oversight, patient evaluation standards, and physician supervision responsibilities can create substantial compliance exposure, particularly when clinics offer GLP-1 therapies, compounded medications, controlled substances, or other prescription-based wellness services.
Utah Botox clinics and med spas commonly operate under the oversight of a Utah-licensed physician (MD/DO) responsible for clinical supervision, patient safety procedures, treatment protocols, and delegated medical services.
In Utah, physician oversight for medspas and aesthetic clinics generally must remain connected to a licensed MD/DO when services involve medical judgment, delegated procedures, prescribing activities, or physician-supervised patient care.
Utah weight loss clinics and telehealth providers operate within a healthcare environment where prescribing oversight, patient evaluation standards, and physician supervision responsibilities may create meaningful compliance exposure, particularly when clinics offer GLP-1 therapies, compounded medications, controlled substances, or other prescription-based wellness programs.
The medical director must be a physician licensed in New Jersey with authority over clinical decision-making, delegation, supervision, and patient care protocols.
Only a physician licensed in New Jersey can exercise authority over medical procedures, clinical delegation, diagnosis, treatment planning, and medical decision-making within a medspa setting.
Medical directors for New Jersey weight loss clinics and telehealth programs should be physicians licensed in New Jersey and in good standing with the State Board of Medical Examiners.
The medical director must generally be a Maryland-licensed physician (MD/DO) with authority over clinical decisions, patient care protocols, delegation, and physician supervision responsibilities.
Only a Maryland-licensed physician (MD/DO) can serve as the medical director for medical procedures performed within a medspa setting.
Medical directors overseeing weight loss clinics and telehealth programs in Maryland are generally Maryland-licensed MDs or DOs responsible for physician oversight, delegation, prescribing workflows, patient safety, and quality assurance systems.
The medical director must be a South Carolina-licensed physician (MD/DO) with clinical control over medical decisions.
Only a South Carolina-licensed physician (MD/DO) can serve as the medical director for medical procedures.
Medical directors should be South Carolina-licensed MDs/DOs. NPs and PAs operate under practice agreements or supervision arrangements for prescribing and delegated medical care.
The medical director should be a Wisconsin-licensed physician (MD/DO) responsible for medical oversight, clinical protocols, delegation, and patient care decisions.
A Wisconsin-licensed physician (MD or DO) commonly serves as the medical director for medspas that provide medical services such as cosmetic injectables, medical-grade laser treatments, IV therapy, and other procedures that constitute the practice of medicine.
Weight loss clinics and telehealth providers should operate under appropriate physician oversight and maintain compliance with Wisconsin professional licensing requirements, prescribing regulations, telehealth standards, and patient-care obligations.