As an internist serving on the Sharp Rees-Stealy Board of Directors, Jamie D. Lavender, MD brings leadership-level insight to adult primary care at the Fir Street campus in downtown San Diego's Bankers Hill. Preventive medicine protocols cover diabetes trending, bursitis evaluation, and hypertension management, with behavioral health referrals routed to Carla M. Payne, PsyD for patients presenting with comorbid anxiety or depressive symptoms. Sharp Rees-Stealy Medical Group provides the integrated multi-specialty infrastructure at 300 Fir Street, housing on-site laboratory draws, diagnostic imaging, and pharmacy dispensing alongside primary care. Dr. Lavender graduated from the University of California San Diego School of Medicine in 2010 and completed internal medicine residency at Adventist Health White Memorial, returning to San Diego to practice at the same academic institution where she trained. Musculoskeletal complaints including cervicalgia and lumbar radiculopathy receive initial evaluation before specialist referral, with conservative chiropractic co-management available through Urbanspine in Bankers Hill. Complex metabolic workups include thyroid function panels, insulin resistance markers, and renal clearance calculations for patients managing multi-organ endocrine dysfunction.