About Us

Middlebrook Family Medicine/Raphine Medical Associates is a privately-owned practice that operates in rural Middlebrook, VA and Raphine, VA. The practice was started 20 years ago and was under the ownership of University of Virginia until 2010. At that time, Dr. John Marsh purchased the practice (only the Middlebrook office was open at that time).

Since that time, he has expanded to the Raphine area. This office is adjacent to Petro Truck Stop and is located within .5 miles of I81. At this location we serve a number of truckers for their DOT physicals, as well as acute issues that arise. The providers are Dr. John Marsh, Cynthia Almarode, FNP, Kenneth Perkins, PA and Rosella Burgdorf, FNP. 20 years ago, Dr. Marsh had a staff of 3 which has now increased to 20. We are also certified Tricare prime providers.

We have a hard-working staff who accommodates a wide variety of patients from different backgrounds. We pride ourselves in providing quality patient care and consider patients to be friends.


About Privia Health

We are proudly part of Privia Health. Privia equips leading primary and specialty care physicians with cutting-edge resources to help us deliver outstanding, personalized patient care. That’s why Privia’s patient satisfaction scores are 2x higher than national averages. Visit their website to learn how Privia helps you take control of your care.

Healthcare, Handled

You have enough on your plate. We make it easy to message your doctor, connect to on-demand virtual care, receive appointment reminders, refill prescriptions, and get care on the go. If you see more than one doctor in our network, your entire care team has access to your medical chart so we can all work together for your health. Use the myPrivia app or patient portal to:

  • Book appointments, renew prescriptions, and access your electronic health record
  • Send and receive secure messages with your care team

Healthy for the Long Haul

You’re more than a set of symptoms. Privia champions lifelong health and wellness, inside and outside the doctor’s office. From pediatrics to adult needs, preventive programs to complex care, doctor’s visits to self-care at home – we’re here to support you on every step in your journey. Count on Privia for:

  • Collaborative, team-based medical group with leading local providers
  • Same- or next-day appointments with 24/7 telehealth for immediate care

Our Doctors Do More

You can enjoy personalized care without pricey membership fees. Privia doctors take the time to listen to your concerns, from wellness programs to chronic care management. Patients rate our providers 4.9 out of 5 for efforts to include them in decisions about their care, so you can be confident your doctor will help you understand the guidance you get, in-office or virtually. With Privia, you can expect:

  • Unhurried, comprehensive visits to develop the right care plan for you
  • Nationally recognized top physicians and healthcare professionals