Best Physician Mortgage Loans in North Carolina: 2025 Guide
February 13, 2025
TLDR
Buying in North Carolina? A physician mortgage is often the easiest way for doctors to compete in markets like Charlotte, Raleigh, and Durham without draining cash reserves. These loans typically offer 0–5% down, no PMI, higher loan limits, and more flexible treatment of student loans—so you can qualify sooner and keep your liquidity for life, moving costs, and student debt strategy.
The North Carolina lenders highlighted here are Fifth Third Bank (0% down up to $1M, higher tiers with 5–10% down), TD Bank (0% down up to $750K, strong for residents/fellows), and Truist Financial (0% down up to $750K, up to $2M total). The smart play is comparing loan limits, down payment tiers, rates/APR, and physician-loan experience—because if you qualify, this is often a stronger option than FHA or generic first-time buyer programs.
If you’re a physician looking to buy a home in North Carolina, a physician mortgage loan can help you secure financing with favorable terms. These specialized loans cater to doctors by offering low or no down payment options, no private mortgage insurance (PMI), and flexible underwriting to accommodate high student loan debt. In this guide, we’ll explore the best physician mortgage programs in North Carolina and how they compare.
Why Choose a Physician Mortgage Loan?
Physician mortgage loans, also known as doctor loans, offer several advantages:
Low or No Down Payment: Many lenders allow 0-5% down, preserving cash flow.
No PMI: Unlike conventional loans, physician mortgages typically waive PMI, reducing monthly costs.
High Loan Amounts: Lenders recognize physicians' strong earning potential and allow higher loan limits.
Flexible Debt-to-Income (DTI) Calculations: Many programs exclude student loan debt from DTI ratios, making approval easier.
North Carolina’s Competitive Physician Mortgage Market
The market for physician mortgage loans in North Carolina is highly competitive, with multiple lenders offering attractive terms to secure physician clients. With strong demand in cities like Charlotte, Raleigh, and Durham, banks are aggressively competing to provide the best rates, customer service, and flexible financing options.
The following banks have consistently ranked as the top performers in North Carolina based on their competitive rates, physician-specific lending experience, and outstanding customer service. If you're looking for the best mortgage experience, these lenders should be at the top of your list.
Top Physician Mortgage Lenders in North Carolina
1. Fifth Third Bank Physician Loan Program
Eligibility: MD, DO, DDS, DMD, Resident, Fellows, DVM, OD, DPM
Loan Amount: Zero Down to $1m, 5% Down to $1.5m and 10% Down up to $2.0m
Down Payment: 0% for loans up to
PMI: Not required
Pros: High loan limits, strong reputation
Cons: May have stricter credit requirements
2. TD Bank Doctor Loan Program
Eligibility: MD, DO, DDS, DMD, Resident, Fellows, DPM
Loan Amount: Up to $1.5 million+
Down Payment: 0% for loans up to $750,000
PMI: Not required
Pros: Available to residents, strong presence in the East Coast
Cons: Limited availability in certain regions
3. Wintrust Mortgage Physician Loan
Eligibility: MD, DO, DDS, DMD, DPM,OD, DVM ,PharmD, DC
Loan Amount: Up to $2 million
Down Payment: 0% for loans up to $850,000
PMI: Not required
Pros: 100% financing available, student loans treated favorably
Cons: May require strong credit profile
How to Choose the Right Physician Mortgage in North Carolina
When selecting a physician mortgage, consider the following:
Loan Limits: Ensure the program covers your desired home price.
Down Payment Requirements: If you prefer 0% down, verify the lender’s terms.
Interest Rates: Compare rates to get the best deal.
Customer Service: Work with a lender experienced in physician loans.
Time out of Residency: Some restrict access to those under 10 years out.
Final Thoughts
A physician mortgage loan is an excellent financing option for doctors in North Carolina looking to buy a home with minimal upfront costs. By choosing the right lender, you can take advantage of no PMI, flexible terms, and higher loan limits. This is the strongest mortgage product you have access to. Not many know how strong it is and try to get you to do different options. Don't let them push you to FHA or other first-time home buyer programs.
Physician mortgage loans are specifically designed to accommodate the unique financial situation of doctors. Whether you're just starting residency or have been practicing for years, these loans provide better flexibility and fewer financial hurdles. With North Carolina's competitive housing market, having the right mortgage product can make a significant difference in securing your dream home.
Additionally, establishing a relationship with a lender that specializes in physician loans can provide long-term financial benefits, including access to other specialized banking products. Don't settle for generic mortgage solutions—explore physician mortgage options tailored to your needs.
If you're ready to explore your options, reach out to one of the lenders above or connect with a mortgage specialist to find the best fit for your financial needs.
Need expert guidance on physician mortgages? Visit drhomefinance.com for personalized mortgage solutions tailored to physicians.


