
Palmetto Proactive Healthcare
Quick Facts
| Membership Price Range | $80/month per adult |
| Practice Type | Direct Primary Care |
| Location | Spartanburg, Greenville, Cayce, Drayton Mills, Upstate SC |
| Doctors | Jerome Aya-Ay MD, Family Medicine, John Dickerson MD, Family Medicine, Oshea Escamilla DO, Family Medicine + 5 more |
| Telehealth Type | Video visits and phone consultations |
| Telehealth Available | Yes |
About
At Palmetto Proactive Healthcare, eight physicians deliver direct primary care across five South Carolina locations. Dr. Jerome Aya-Ay and Dr. Chris McCarthy co-founded the practice in Spartanburg. They built it around a simple conviction: there is a better way to provide primary care, manage chronic illness, and pay for it all.
The practice operates through its Proactive Patient Program, a flat $80 monthly membership per adult with no copays and no surprise bills. Members access same-day and next-day appointments, after-hours support, telemedicine, and an in-house imaging center in Spartanburg offering MRI, CT, and X-ray at transparent prices. The clinical team handles everything from annual wellness physicals and chronic disease management to minor surgical procedures, skin biopsies, joint injections, and gynecological exams. Palmetto Proactive also partners with employers across South Carolina, offering flexible DPC plans for businesses of 50 to 500 or more employees.
Details
Address
3225-B Reidville Rd, Spartanburg, SC 29301
Phone
(864) 641-7229Website
Visit websiteMembership
$80/monthly
Membership Details
Flat monthly membership fee of $80/month per adult. No copays for office visits. No surprise bills. Skin procedures $40 + pathology if necessary. Labs at significantly discounted near wholesale cost. Radiology: two X-rays included at Greenville and Spartanburg locations, discounted pricing from local imaging partners. Flu shots included. No insurance billing for routine care.
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Frequently Asked Questions
Palmetto Proactive charges a flat $80 per month per adult. That fee covers office visits with no copays and no surprise bills. The practice prices its services 50-70% below typical medical clinics. Labs run at near-wholesale cost, and the practice includes flu shots and two X-rays as part of standard membership benefits.
No. Palmetto Proactive does not contract with any insurance companies and does not bill insurance for routine care or imaging. Members pay a transparent monthly fee. Some members carry a separate insurance plan for catastrophic coverage, but the practice operates entirely outside of insurance for its services.
The practice believes members will have the ability to pair an HSA with their DPC membership beginning in 2026 for tax-advantaged payment. This reflects federal changes under consideration that would make HSA pairing with DPC memberships possible.
Yes. Palmetto Proactive offers same-day and next-day appointments for members. The practice also provides an after-hours line for urgent needs outside regular office hours, and telemedicine for acute illnesses, medication refills, and follow-up visits.
The practice provides comprehensive family medicine including preventive screenings, annual physicals, chronic disease management, acute sick visits, EKGs, lab work, and minor procedures such as laceration repairs, abscess drainage, skin biopsies, ingrown toenail removal, and joint injections. Sports physicals, employer physicals, and gynecological exams are also available.
Yes. The Palmetto Proactive Imaging Center in Spartanburg offers MRI starting at $480, CT scans starting at $300, X-rays at $80, Coronary Calcium CT Scoring at $125, and Low Dose Lung Cancer Screening at $300. Members at Greenville and Spartanburg locations also receive two X-rays included with their membership. The practice does not bill insurance for imaging.
Palmetto Proactive serves patients 12 months of age and older. The practice does not perform routine required immunizations for children under 5 years of age.
Yes. Members can access telemedicine for acute illnesses, medication refills, and follow-up visits. The practice also provides an after-hours phone line for urgent concerns outside of regular office hours.
Yes. Palmetto Proactive partners with employers across South Carolina. The practice offers flexible DPC plans for businesses with 50 to 500 or more employees. Employer members show significantly higher annual care utilization, including members managing chronic conditions averaging over seven clinical encounters per year.
Palmetto Proactive operates five near-site clinic locations in South Carolina: Spartanburg Westside, Spartanburg Drayton Mills, Greenville, Cayce, and an additional location. The Spartanburg Imaging Center serves members across all locations.
Practice last updated April 4, 2026

