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About Us


The concept of concierge medicine is reducing the number of patients by 80-90 percent to allow more time to spend with each patient and to provide more personalized care. The maximum number of patients for Jeremy and Kristina at Access Internal Medicine, PC is 500 each. This will ensure that you receive the highest quality of care. Instead of seeing 20 to 25 patients in a day, Jeremy and Kristina will see half that, which allows them to spend the necessary amount of time with each patient. Furthermore, this allows us to offer same day or next day appointments and longer appointments with minimal wait time. We will visit you in the hospital, assisted living facility, nursing home, or residence when indicated. Jeremy and Kristina will always be reachable 24 hours a day, including by cell phone after office hours and on weekends.

We use a functional medicine approach

The functional medicine model is an individualized, patient-centered, science-based approach that empowers patients and practitioners to work together to address the underlying causes of disease and promote optimal wellness. It requires a detailed understanding of each patient’s genetic, biochemical, and lifestyle factors and leverages that data to direct personalized treatment plans that lead to improved patient outcomes. By addressing root cause, rather than symptoms, practitioners become oriented to identifying the complexity of disease. They may find one condition has many different causes and, likewise, one cause may result in many different conditions. As a result, functional medicine treatment targets the specific manifestations of disease in each individual.


Our Services


Acute Care


Evaluation and treatment of cardiac, respiratory, genitourinary and gastrointestinal illnesses, sports injuries, minor orthopedics, removal of lumps, moles, and warts, laceration repair, and more.

Preventive Care


Routine checkups, physical examinations, adult immunizations, skin cancer screening and biopsy, osteoporosis screening, health behavior counseling, and more.

Evaluation and Management of Chronic Conditions


Diabetes, high blood pressure, high cholesterol, osteoarthritis, osteoporosis, asthma, allergies, hormone therapy, depression and anxiety, gastroesophageal reflux disease, irritable bowel syndrome, ADHD, allergies, obesity, chronic headache, and joint pain.



Pap smears, hormone evaluation and therapy, birth control, pregnancy testing, female urinary incontinence, evaluation and treatment of chronic and acute disorders of the genitourinary and reproductive systems.

Men's Healthcare

Routine checkups, physical examinations, prostate exam, evaluation and treatment of impotence, BPH and other genitourinary conditions, gastrointestinal disorders, apnea and other sleep disorders, depression and anxiety, joint and muscle disorders and injuries, and obesity.

General Care


Routine checkups, physical examinations, immunizations, asthma and allergy care, minor orthopedics, sports injury care; acute care for illnesses, minor injuries, and infections; evaluation and management of asthma, allergies, gastrointestinal, genitourinary, and skin disorders, obesity, nutritional deficiencies, diabetes, ADD and ADHD, depression, anxiety, sleep disorders, nutritional deficiencies, and joint and muscle pain

Ultrasound (Referral)

Abdominal, Pelvic, Renal Artery Duplex, Abdominal Aortic, Echocardiogram, Carotid Duplex, Testicular  and Thyroid Ultrasounds.

Laboratory Testing (In-house)


Urinalysis, pregnancy testing, complete blood count, blood cholesterol, blood sugar, lipid panels, thyroid testing, prostate-specific antigen, hemoglobin A1C, metabolic panels, hepatic panels, strep and mononucleosis testing, iron panels, H. pylori, BNP, allergy and more. Now also offering comprehensive biomarker-testing panels to assess current risks associated with chronic illnesses.


Years of Experience


Smiling  Clients


Master Certifications


Happy Staff



Jeremy Pepper is a Board Certified Physician Assistant, providing primary care in Wilmington, NC. He promotes the importance of a healthy, well-balanced diet and frequent exercise. During his time off, he loves supporting his children's sports endeavors, from practices to games. Boating, cycling and traveling together with his family are also amongst his favorite activities.


B.A. degree in Biological Sciences- University of Delaware B.S. degree in PA Studies- Seton Hill University- Graduating with Honors Distinction Board Certified by the National Commission on Certification of Physician Assistants North Carolina Medical Society member North Carolina Academy of Physician Assistants member

Kristina Saunders Gardner, provider at access internal medicine.jpg
Kristina Saunders-Gardner

We are thrilled to introduce Kristina Gardner to Access Internal Medicine, PC. With an impressive track record of 24 years in the medical field, Kristina brings a wealth of experience and knowledge to our team. She holds a Bachelor of Science in Nursing and a Master of Science in Nursing from the esteemed University of Nebraska Medical Center. As a certified Family Practice Nurse Practitioner, Kristina specializes in providing comprehensive primary care for individuals.

Kristina's approach to healthcare is truly holistic, with a strong emphasis on preventive medicine in a safe, respectful, and non-judgmental environment. Her expertise in chronic disease management, particularly in diabetes, is unparalleled, having dedicated the last 15 years to this specialization. In fact, she is also an ADA diabetes educator, further highlighting her commitment to empowering patients with the knowledge and tools to manage their conditions effectively.  Kristina will also offer personalized comprehensive women’s health care for the mind, body, and spirit.  

Originally hailing from Lincoln, Nebraska, Kristina made the exciting move to Wilmington, NC in 2020. When she's not caring for patients, she finds solace in spending time at the beach, indulging in a good book, and passionately cheering for Nebraska and Iowa State football.

Kimberly Padgett
Patient Coordinator
Our Staff
Nature Reserve


“Jeremy Pepper and his staff have literally been a lifeline, for my husband and myself, since they opened their doors. Their competence, compassion, and patience to treat not just our immediate medical needs but their abilities to look down the road and address the entire holistic approach to our health needs is a value that cannot even be expressed in words. My husband’s health has been grave several times over the years and Jeremy has been there to guide us through every moment.

He is an amazing advocate for not only his medical needs but always takes time to address my needs as my husband’s caretaker. Jeremy saw down the road to my own health concerns and put me on a multi-faceted path to better health. They are family now.”

“ I have nothing but the ultimate trust in Jeremy Pepper.  We started with him about 18 years ago , when he was with another practice. He was just starting out down here… and we knew he had a gift! Very happy when he decided to go on his own and so very proud of him! He has always been patient and extremely thorough! And his practice just kept on growing!!! It was apparent that it was just growing to much for him, but he always maintained his professionalism.

Then this year he made the decision to go concierge. Vinnie and I thought long and hard about the move on his part, and if we could afford it…… and thought that we couldn’t change and we had to make it work with our budget!

We are so happy we chose to stay! Jeremy is sooo worth it!”

Anthony & Linda Vaughn

Debbi and Vinnie Conti

Success Stories



1606 Wellington Avenue, Suite A
Wilmington, NC 28401

Phone: 910.859.8586
Fax: 910.859.8588




Hours of Operation

Monday  8 am – 5 pm
Tuesday 8 am – 5 pm
Wednesday 8 am – 5 pm
Thursday  8 am – 3 pm
Friday  8 am – 12 noon (TELEMED)




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