Doctor Holding Patient's Hand

Welcome to FirstChoice Family Care, PLLC

 We provide comprehensive primary care to patients of all ages. FirstChoice Family Care is currently accepting new patients for all providers, and we accept all major insurances, including Medicare, TennCare, and Kentucky Medicaid.  Keep scrolling to see our services, meet our providers, or see our hours. 



Primary Care

Our providers have many years of experience in this community caring for your whole family. We offer yearly physicals, well child care, Welcome to Medicare physicals, sick visits, and all other types of primary care. Call today for a timely appointment!

Doctor and Patient
Dermatology Consultation

Urgent Care

Life comes at you fast!  We know that you can't always plan a trip to the doctor's office.  FirstChoice Family Care is there for your family's minor emergencies and sickness.  In most cases, same day and walk-in appointments are available.  Call our office any time and one of our experienced providers will make sure you or your family is seen today.

Minor Surgery

FirstChoice Family Care's experienced clinicians offer a wide range of minor surgery, including mole and skin tag removal, wart removal, joint injection, abscess drainage, cyst and lipoma excision, ingrown toenail removal, and lacerations. We also offer a wide range of cosmetic procedures including spider vein treatment!  Call today for more information about these or any other services we provide.

Surgical Equipment Leasing Service
Blood Samples

Lab Services

FirstChoice Family Care offers comprehensive lab services, including standard screening blood work, hormone levels, thyroid tests, cholesterol levels, diabetes testing, comprehensive pediatric screening tests, urine tests, strep screens, flu tests, cultures, and anything else our providers feel you need to keep you healthy or diagnose your condition.

Sports Physicals

Let our experienced team of providers perform your child's sports and school physicals.  We offer vision and hearing screening as indicated and can make sure your child is healthy and safe to participate in athletics.

Little League

Occupational Medicine

Our providers are available to perform DOT physicals, insurance physicals, and will gladly see you for worker's comp treatment or insurance related care due to accidents or on-the-job injuries.  Call today for an appointment!

Radiology Services

FirstChoice Family Care offers on-site x-ray and ultrasound to help our providers diagnose and treat your condition.

Stethoscope on the Cardiogram

Hospital Medicine

Dr. Tompkins holds admitting privileges to both Livingston Regional Hospital and Cookeville Regional Medical Center.  His relationships with the Emergency Medicine and Hospitalist groups at both hospitals allow him to work closely with your provider to determine the most appropriate facility to meet your inpatient medical needs, and in most cases arrange for you to be directly admitted to the hospital if indicated.  Most of the time, this will allow you to skip a long wait in the ER.  Dr. Shaffer has close ties with Vanderbilt University Medical Center's Monroe Carell Jr. Children's Hospital and works closely with all providers to ensure your child is cared for properly in the hospital if the need arises.

Skilled Nursing Facility Care

Dr. Tompkins serves as Medical Director for Pickett County Care and Rehabilitation, in Byrdstown.  He sees patients who are admitted there either for short term rehabilitation or long term residents.  By providing care to this population, FirstChoice Family Care is able to deliver comprehensive primary care to our patients no matter where they are located in the healthcare system.

Seniors Socializing

Meet Our Providers


James Tompkins, MD

Family Medicine

Dr. Tompkins is a lifelong resident of Byrdstown.  He graduated from Pickett County High School, completed a Bachelor of Science degree in Chemistry from Tennessee Technological University, and received his Doctor of Medicine from  the James H. Quillen College of Medicine in Johnson City, Tennessee.  He then completed a residency in Family Medicine at the University of Tennessee Medical Center in Knoxville, Tennessee.  He is a Diplomate of the American Board of Family Physicians (ABFM), a Fellow of the American Academy of Family Physicians, and additionally holds the Designation of Focused Practice in Hospital Medicine from the ABFM.  Dr. Tompkins has practiced Primary Care in the Upper Cumberland area since 2010, as well as Hospital Medicine and Emergency Medicine.  He currently serves as Medical Director for Pickett County Emergency Medical Services and Pickett Care and Rehabilitation.  Additionally, he serves as Pickett County Medical Examiner and volunteers as Team Physician for Pickett County K-8 and High School.

Jori Shaffer, MD


Dr. Shaffer grew up in Byrdstown. She graduated from Pickett County High School in 1990, completed a Bachelor of Science degree in Chemistry from Tennessee Technological University in 1994, and received her Doctor of Medicine Degree from the University of Tennessee Memphis in 1998. She then completed a combined Internal Medicine and Pediatrics residency program at Vanderbilt University in Nashville, TN in 2002. She is a Diplomate of the American Board of Pediatrics. She has practiced medicine in Byrdstown, caring for patients from all over the Upper Cumberland and Southern Kentucky region, for nearly 18 years.
Dr. Jori (as her patients affectionately call her) resides with her husband Lance and their sons Quinn, Zeke and Zeb in Livingston, TN. They live on a small farm and raise alpacas. She and her husband are active in their local church, especially in the worship ministry. They all love music and doing family activities and adventures together.


Mary Leah Webb, BSN, MSN, FNP-C

Family Nurse Practitioner

Mary Leah is a native of Livingston, Tennessee.  She holds a Bachelor of Science in Nursing from Tennessee Technological University in Cookeville, Tennessee, graduating in 2003.  Following graduation, she worked as an RN at Livingston Regional Hospital for 12 years.  She completed her Family Nurse Practitioner training in 2015, also at Tennessee Technological University, and has been practicing primary care in Byrdstown since then.  She resides in Overton County, Tennessee with her husband Barry and children Kolin, Keaton, and Kenley.  She enjoys spending time with family and friends and relaxing on Dale Hollow Lake.


Patient Forms

New Patient Intake Form

HIPAA Acknowledgement

Consent for Treatment (Adult)

Consent for Treatment (Child)

Designation of Personal Representative

Medical Records Release

Sports Physical (Tennessee)

Sports Physical (Kentucky)

DOT/Commercial Driver Exam



Mon - Fri: 7:30AM - 5PM
Sat: Closed
Sun: Closed


Contact Us

FirstChoice Family Care, PLLC

601 West Main Street, Suite A

Byrdstown, TN  38549

(931) 864-3232

(931) 864-3230 (fax)

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