| Consult. Create.
| Deliver

We live to merge creativity and technology to achieve measurable results for our clients.

Learn More +


In the ever-evolving world of healthcare technology, our stellar team of business and product consultants are hyper-focused on industry trends, market shifts, regulations, and technologies to help clients achieve their goals. Regardless of where your business or product lies on the revenue cycle continuum, our team has over 40 years of collective practical experience managing and developing tailor-made creative plans of attack that deliver results that matter.

We see every client as having unique business challenges, strengths and goals, and we use both tried-and-true and out-of-the-box thinking to come up with solutions to enable each client to succeed in the goals that are important to them.
We know that best results come from having people with experience and knowledge of where the industry has been and where it is going, and who have a laser-like focus on solving and delivering solutions to the most challenging problems facing those in healthcare today. Together, we can create solutions that deliver measurable results.


NINA NIKOMIDCo-Founder, Creative and Strategy
Nina co-founded metafour after spending the first part of her career focused on brand development, marketing, and design. As a creative director, she has extensive experience building brands through effective design and strategic marketing.

ADDISON PERRYMONDCo-Founder, Product and Business Strategy
Addison co-founded metafour after working in product management and product marketing for start-ups and Fortune 500 companies for over 20 years in the Healthcare IT industry. He has successfully led teams nationally and internationally to help companies launch next generation products.
COURTNEY MCDONALDManaging Partner – Public Relations
A native New Yorker, Courtney was the Vice President of two esteemed branding, PR, event and consultancy firms in Manhattan before moving to Atlanta. She has managed national and international strategy development and communications and produced high-profile events for countless brands and personalities.
FALGUNI SMITHManaging Partner, Communications
Falguni is a writer with a background in brand building and campaign development. Based out of New York City, she has worked with internationally recognized for-profit and nonprofit brands in North America and Europe.


With the client at the center of each of our services; we apply the design thinking process to seamlessly provide integrated solutions for each of our clients. We know that the best results come from having the right people working on the right project. There are no shortcuts or templates to deliver great results.


Fill out our contact form to tell us about your project(s).