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Direct Primary Care for Healthier Communities
Palmetto Proactive is a physician-led direct primary care (DPC) family medicine practice dedicated to reuniting patients and physicians in a proactive, patient-first relationship. Established to address the shortcomings of traditional healthcare models, we eliminate insurance-related paperwork and costs, enabling board-certified physicians to focus entirely on individualized care. Our approach prioritizes accessibility, affordability, and transparency, offering same-day appointments, chronic disease management, and preventive care tailored to each patient's needs.

With a commitment to community wellness, our team extends its expertise beyond clinical settings through local outreach initiatives. We serve as a trusted healthcare partner for individuals, families, and employers, emphasizing long-term health outcomes over transactional visits. Our practice is built on three pillars: People (patients as partners), Process (streamlined DPC), and Purpose (proactive health management). By removing barriers to care, we empower patients to 'Get Well, Stay Well, and Live Proactive.'
Services
Primary Care Urgent Care Imaging Services Chronic Disease Management Preventive Care
Highlights and features
  • We offer direct patient-physician relationships without insurance intermediaries
  • Our transparent pricing eliminates co-pays and surprise billing
  • Board-certified physicians provide 80-90% of healthcare needs
  • After-hours access to care teams for urgent needs
  • Community-focused approach with local outreach initiatives
What people say
Personalized care No co-pays Board-certified physicians Same-day appointments Transparent pricing
Services
Direct Primary Care
Our direct primary care model eliminates insurance bureaucracy to provide personalized, affordable healthcare. Patients receive comprehensive services including preventive care, chronic disease management, and acute illness treatment. With no co-pays or surprise bills, our transparent pricing structure ensures cost predictability while enabling physicians to spend more time with patients. This approach fosters stronger patient-physician relationships and better health outcomes through proactive care.
Imaging Services
We offer advanced diagnostic imaging including MRI, CT scans, X-rays, and ultrasounds at our Spartanburg facility. Our 1.5T MRI provides hospital-quality imaging with reduced claustrophobia through wide-bore technology. Competitive pricing and minimal wait times make diagnostic imaging accessible for uninsured patients or those with high deductibles. All services are available by physician referral with coordination for follow-up care as needed.
Chronic Disease Management
Our physicians specialize in managing chronic conditions like diabetes, hypertension, and asthma through personalized care plans. Regular monitoring and proactive interventions help prevent complications while reducing healthcare costs. The direct care model allows extended consultation times to address complex needs and coordinate specialist referrals when necessary. Patients benefit from consistent oversight that prioritizes long-term wellness over reactive treatment.
Urgent Care
We provide same-day or next-day appointments for urgent medical needs including infections, minor injuries, and acute illnesses. Our after-hours access ensures continuity of care beyond regular business hours. Unlike traditional urgent care centers, patients receive treatment from their regular physicians who understand their medical history. This approach improves diagnostic accuracy and maintains care consistency for better recovery outcomes.
Preventive Care
Our preventive care services focus on early detection and health maintenance through regular screenings, vaccinations, and lifestyle counseling. Initial Health Risk Assessments help create personalized wellness plans tailored to individual needs. By emphasizing proactive health management, we help patients avoid preventable illnesses and reduce long-term healthcare costs while promoting overall well-being through sustained patient-physician partnerships.
People
Dr. Jerome Aya-Ay
Physician
Board-certified physician dedicated to direct primary care, focusing on patient-centered wellness and chronic disease management in the Spartanburg community.
Dr. Chris McCarthy
Physician
Experienced family medicine practitioner committed to proactive healthcare solutions and community wellness initiatives through direct patient engagement.
Dr. John Dickerson
Physician
Primary care specialist emphasizing preventive medicine and personalized treatment plans to improve long-term health outcomes for Spartanburg residents.
Mike Toledo
Certified Family Nurse Practitioner
Skilled healthcare provider delivering comprehensive primary care services with a focus on patient education and chronic condition management.
Alexis Parolin
Director of Process Improvement
Healthcare operations leader optimizing patient care delivery systems to enhance accessibility and efficiency across Palmetto Proactive's service locations.
Questions
What is direct primary care (DPC)?
DPC is a membership-based model eliminating insurance billing to provide affordable, personalized care directly between patients and physicians.
Do you accept health insurance?
We do not contract with insurance companies to reduce costs and administrative burdens, passing savings directly to patients.
How do I schedule an appointment?
Contact your nearest location or use our online form to request appointments for primary care or imaging services.
What services are included in the P3 program?
The Proactive Patient Program includes preventive care, chronic disease management, urgent visits, lab work, and imaging services at discounted rates.
Are imaging services available without a referral?
Physician referrals are required for imaging services, though we accept orders from both internal and external providers.
How does DPC benefit employers?
Employers reduce healthcare costs while providing employees access to affordable, high-quality primary care through our workplace clinic partnerships.
Reviews (6)
Issel Carmen
Jun 17, 2021 Report
I drove about 20 minutes to this practice because they take in walk-in patients, but today I came in and was told that they stopped taking walk-in patients a year ago because of COVID, but i came with my daughter less than a month ago without an appointment and we were attended to. Office staff needs better patient care manners for sure
Jeff Burrell
May 28, 2021 Report
Dr. McCarthy is a great Doctor and takes the time to get to know you. He has been my doctor for many years.
Misty Taylor
Feb 28, 2021 Report
I have been a patient of this practice for several years. Dr. Aya-Aye and Dr McCarthy are very caring and personable. The staff inside is a pleasure to see even on the worst days.
Tonya Willis
Jan 26, 2020 Report
I've brought my daughter here for the past few years for a sports physical. I had always had a pleasant experience, until today. We walked in around 4:20, they close at 5 but we have done it before and are usually in and out by 5 with no problem (my child doesn't like missing any school). Well, today the receptionist tells me that they do not do walk-ins after 2:00. There were no patients in sight.

If this is in fact true, then the website should say as much. I just feel like they just wanted to go home. It is unfortunate because we have always been pleased with the service from the doctors there
Blake Painter
Nov 23, 2019 Report
WOW! What an awesome Physician Dr. McCarthy is! I usually HATE going to the Dr. but I am so glad I chose to come here! Dr. McCarthy didnt rush me in and out, listened to EVERY concern I have had. And we came up with a treatment plan together! I cannot believe how great he is. The Holy Grail of Physicians! I will never go anywhere else! I hate to let the secret out, but I cant sing his praises enough!
Charles Refshauge
Nov 13, 2018 Report
I had a fantastic experience with Palmetto Proactive. My wife was able to get an appointment for me the day that she called. Their location was easy to find and the office environment was welcoming. I didn't have to sit in the waiting room for very long and when Dr. McCarthy saw me I didn't feel rushed at all. Way less paperwork and hassle, since they don't deal with insurance - and the fee was extremely reasonable. I'll definitely plan on using these guys again. Highly recommended.