About Us

Providing Comprehensive Remote Care is our mission. Teaching people how to take care of them selves and improve their health is our passion. 

The team at Reflect on Health is very well rounded and committed to your success in your health and fitness journey.  Our Providers have  well over 30 years of experience in weight loss, hormone replacement, and primary care medicine among our principal staff and advisory board. 


Derek Michael is a Physician Assistant with 10 years of experience in Primary Care, Hormone Replacement and Weight Loss medicine. He is a veteran of the U.S. Navy and a former college athlete and firefighter. He too is very passionate about wellness  and helping people achieve their health and fitness goals.  He ran one of the largest centers for men's hormone replacement right here in Johnson City Tennessee for years before starting a practice dedicated to overall health and aesthetic medicine. 


Keisha Johnson is a southwest VA native living her best life in TN. She is happily married to her husband Seth who is also in the medical field. They have a big family: 4 kids, 2 dogs, & 2 cats.

She is a board certified family nurse practitioner with 9 years experience as a NP and 11 years as a RN. Her specialty areas of practice have ranged from neuro-trauma intensive care, pulmonary & sleep, perioperative medicine, & medical aesthetics.

As someone who has always struggled with self-confidence, it is her dream to make people feel as beautiful as they truly are.

Payton Johnson is a native of the Tri-Cities. She began her nursing career at Niswongers Children's Hospital in 2019, specializing in Pediatrics.  During her time at the hospital, she has served as a charge nurse, preceptor and became crossed-trained to all units of Niswongers Children's Hospital.  

During her tenure at NCH, she has received the Daisy Award and Impact Service Award. Payton earned her BS in Nursing from East Tennessee State University. Payton enjoys building relationships with her clients and making sure they feel confident in their own skin by enhancing their natural beauty.  She is passionate about expanding her knowledge and education on fillers and neurotoxin to exceed her patients goals.


We work together to exceed expectations of our clients, provide a comfortable experience, and care from start to finish.

Located in Johnson City TN Reflect on Health is locally known as one of the top offices for: 

  • Weight Loss
  • Anti-Aging Medicine
  • Hormone Replacement Therapy
  • Primary care
  • Sick care