Having returned home in 1997, he began his practice of family medicine by joining with his family doctor. In 2006, Dr. Purifoy opened his own solo practice. In 2014, recognizing the need to begin transitioning to value based care, he joined an ACO led by the Aledade team. He now serves as the medical director for the Aledade Arkansas ACO. With over 12,000 Medicare beneficiaries and growing, the ACO is bringing value based care to the citizens of Arkansas, enriching the primary care experience for it's physicians, and creating a sustainable model of healthcare for future generations of Arkansans.