SERVING ROANOKE AND SURROUNDING COMMUNITIES
Family Medicine, The Way It Used to Feel
Cave Spring Family Medicine is a small practice in Roanoke, VA, built around real relationships, from your newest family member to your oldest.

meet the doctor
Dr. Denise Hawley
I've spent my years of education and training chasing one idea: medicine works best when someone has the time to actually know you. Not just your chart. You. So I am building Cave Spring Family Medicine to stay small on purpose. A practice where I can slow down, really listen, and take care of your whole story, not just today's symptom.
I take care of families the old-fashioned way: newborns, growing kids, parents, grandparents, everybody, under one roof, for as long as you'll have me. I am also trained in osteopathic manipulation (OMT), a hands-on approach that helps with everything from frequent headaches to stubborn low back pain and more. You don't have to be my primary care patient to come see me for that (more on this below).
If you're looking for a doctor who has time for you, I'd love to meet your family.
Whole-Family, Whole-Life Care
Care for Every Season of Life
I believe good care follows you through every season of life, not just the convenient ones. That means:
Small patient panel, on purpose, so visits never feel rushed.
Newborns & kids
well visits, sick visits, the questions new parents lie awake over
Adults
annual exams, day to day concerns, complex unknown illness, and everything in between
Seniors
balanced care to match your values, including simplifying medications and planning ahead
Every life stage
because families don't split neatly into age brackets, and neither should their doctor
Small patient panel, on purpose, so visits never feel rushed.
Osteopathic Manipulative TREATMENT (OMT)
Gentle, Hands-On Care to Help Your Body Feel & Function Better
Osteopathic manipulative treatment (OMT) uses different hands-on techniques to re-align the body’s structure and reset the tension of surrounding tissues. This increases movement of the joints, improves circulation and lymphatic flow which allows the body to heal itself improving both function and reducing pain. It can help both children and adults with many conditions including:
- Headaches
- Ear and sinus issues
- Sports injuries
- Osteoarthritis
- Back, neck, and joint pain
- Lingering pain or reduced function after fracture or injury
- Abdominal pain, digestive discomfort, constipation
- Menstrual pain
- Non-infectious dysuria (urinary pain without infection)
You don't have to switch doctors to see me for this. If you already have a primary care physician you love, that's wonderful. You're welcome to keep them and simply come to me for OMT alongside your regular care. No pressure, no strings attached.
Cave Spring Family Medicine, LLC is an independently owned and operated care center that may provide Osteopathic Manipulative Medicine. Privia Medical Group is not responsible for these products or services. Privia’s Authorization & Consent to Treat, Financial Policy and HIPAA Notice of Privacy Practices are not applicable to these services or products.
a personal approach to care
A Little About Dr. Hawley
Dr. Hawley is a physician who believes in slowing down and treating the whole person, not just the symptom in front of her. Her training reflects that:
Doctor of Osteopathic Medicine (D.O.)
Edward Via College of Osteopathic Medicine
Board-Certified in Family Medicine & Osteopathic Manipulative Treatment
American Osteopathic Association & Board of Family Physicians
Chief Resident, Carilion Clinic
Family Medicine Residency, where she taught hands-on osteopathic techniques
She is especially passionate about deprescribing, helping patients simplify medications and prioritize quality of life, as well as advanced care planning that gives families confidence about the future. Outside the office, she enjoys crafting, board games, horseback riding, and singing, so don’t be surprised if she hums while she works.
"I never changed my mind. I always knew I wanted my own practice, where care happens on the patient’s terms, not the clock’s."
- Dr. Denise Hawley
OUR SERVICE AREAS
Serving Roanoke & Nearby Communities
Cave Spring Family Medicine is located in Roanoke, VA, and welcomes patients and families from throughout the greater Roanoke Valley, including:
Roanoke
Cave Spring
Salem
Vinton
Holins
Bonsack
Glenvar
Daleville
answers to common questions
Frequently Asked Questions
Is Cave Spring Family Medicine accepting new patients?
Not yet, we're currently getting ready to open. Join our interest list and we'll reach out as soon as we're scheduling appointments.
Where is Cave Spring Family Medicine located?
The practice is located in Roanoke, VA, and serves patients throughout the Roanoke Valley, including Salem, Vinton, Cave Spring, Botetourt County, Blacksburg, Christiansburg, Bedford, Rocky Mount, Holins, Bonsack, Glenvar, and Daleville.
Do I have to leave my doctor to see Dr. Hawley for osteopathic manipulative treatment (OMT)?
No. You're welcome to keep your current primary care doctor and simply see Dr. Hawley for OMT treatment. Many patients do both.
What is osteopathic manipulative treatment (OMT?)?
OMT is a hands-on treatment approach, similar in spirit to chiropractic care, that helps the body's structure and function work together. It can help with issues ranging from colic in babies to back and joint pain in adults.
Does Dr. Hawley see children?
Yes. Cave Spring Family Medicine is a whole-family practice, from newborns through older adults.
Is Dr. Hawley taking whole families, not just individual patients?
Yes, that's the goal of the practice: caring for entire families across generations, all in one place.
What insurance does Cave Spring Family Medicine accept?
Details on insurance will be shared as the practice gets closer to opening. Join the interest list to be notified.

join the interest list
Be the First to Know
Cave Spring Family Medicine is currently in the works, with an anticipated opening soon. Sign up below and we'll let you know as soon as we're scheduling appointments.
Disclaimer: By submitting this form, you are requesting to be added to our interest/wait list and agree that our office may contact you regarding future appointment availability. Submission of this form does not establish a patient-provider relationship or guarantee an appointment. Please do not use this form for urgent medical needs or emergencies. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department.
PROUD TO BE PART OF PRIVIA MEDICAL GROUP
Cave Spring Family Medicine, LLC is a proud member of Privia Medical Group. The best doctors in our community have joined together to form Privia Medical Group (PMG), a multi-specialty, high-performance medical group that puts patients first. Our physicians are united by the mission of providing better, more coordinated care for their patients. To learn more about Privia Medical Group and find other Privia doctors, please visit our
website.





