About Us


Brian Fretwell

DPCA Athens, Cleveland & Dalton
Mr. Fretwell also calls Cleveland home. He is a former field and flight Paramedic. He attended University of Tennessee at Chattanooga. His medical education was completed at Nova Southeastern University with a dual degree in PA studies and Masters in Public Health. He has over 27 years experience in Emergency, Family, and Occupational Medicine. As CEO of Direct Primary Care Associates, Mr. Fretwell has created and continues to develop a team of like-minded, forward thinking individuals who share his unique vision for improving access to quality affordable healthcare through innovative solutions for individuals and businesses throughout the region.

Brian enjoys spending quality time with his children. He also spends most fall weekends watching Tennessee football. An avid conservationist and outdoorsman he also spends much time hunting, fishing, surfing, and boating

Gerard Mazza

DPCA Athens, Cleveland
Dr. Mazza is DPCA’s Medical Director . A Cleveland resident and trusted Family, Emergency, Occupational, and Urgent care Physician for 34 years. He has proudly served Southeast Tennessee for his entire career. He graduated from the University of South Florida and completed Family Medicine residency at United Hospital Center in Clarksburg, WV. Dr. Mazza is a distinguished member of the Alpha Omega Alpha Medical Honor Society. From his past and current work in all of these settings, he has gained insight into many of the issues surrounding access to affordable primary care. Dr. Mazza leads our clinics in a way that cultivates a sense of community and where patients have time to personally connect with each provider.

Dr. Mazza enjoys fitness and exercising. You will often find him at the various classes at the YMCA. He also loves to fly his plane, travel, and spend time with his family.

Beth Prine

Beth graduated from the University of Tennessee Health Sciences Center in Memphis and practiced as a physical therapist for over 20 years in outpatient and occupational medicine practices with dual responsibilities in management and clinical roles. She furthered her education by obtaining a MBA from Bryan College to redefine her career in healthcare administration. Combining her love for patient care and passion for improving the patient experience through DPC makes her role as VP and Chief Operating Officer of Direct Primary Care Associates the pinnacle of her career.

Beth enjoys hosting informal get-togethers on the weekends or to make any day an occasion to celebrate. She credits her love of cooking and gardening to the memory of Southern Mom and Aunts. Beth and her husband, Jeff, also enjoy boating and spending time with family and friends on the lake.

Stacy Flowers

DPCA Cleveland
Stacy always dreamed of working in healthcare and her career began as a Registered Nurse working in a variety of settings including Intensive Care step-down unit, Trauma ICU, Hospice, and eventually the Emergency Room . Her commitment to patient care and furthering her education led her to complete a Master’s Degree in Nursing from Southern Adventist University. She is a member of the American Academy of Nurse Practitioners. As a board certified family nurse practitioner, she gained valuable experience in pediatrics, geriatrics, and men’s health before bringing her talents and skill to Direct Primary Care Associates. Stacy is a lifelong Cleveland resident. She is happily married to her husband Eric and they have two daughters, Emery and Eden.

Payten Holcombe

Payten is a native of Ringgold, GA, and a veteran of the United States Marine Corps. After serving, he earned his Bachelors Degree in Psychology from The University of Georgia and his Masters in Psychology from the University of Alabama. Payten has a strong background in manufacturing, human resources, benefits management, and worksite clinic development. Payten currently serves as the Board President for Family Promise of Bradley County. He also volunteers with the Ocoee Region Veterans Council, Tennessee Suicide Prevention Network and as the Board Chair for Trout Unlimited.

When he’s not working with one of these organizations, you’ll probably find him standing in a trout stream with a fly rod. He and his wife, Dr. Melissa Holcombe, always enjoy spending their free time in the great outdoors.

Tim Tatum

Tim is a Licensed Professional Counselor and he obtained his Master of Business Administration in Healthcare Management in 2016. He has worked in the local mental health arena since 1995. He has diverse experience in the group home, acute detox, inpatient and community-based settings. As a clinician, Tim ascribes to a holistic and collaborative approach to helping people overcome challenges. Holding a firm belief in influencing mental wellness, Tim is an active volunteer with suicide prevention, addiction support efforts, and mental health advocacy at the regional and state policy level.

In his free time, Tim is an avid runner and enjoys the natural resources that Chattanooga and the surrounding area offers. He and his wife Nikki, reside on the river with their dog, Maisy.

Mary Steels

Certified Medical Assistant
DPCA Cleveland
Mary Steels, CMA, has over 20 years of experience in the medical field as a clinical manager in family practice, occupational health, and urgent care.

It was our honor to have Mary as our first full-time employee, and she states, “My passion is to actually care for the patient not just treat their illnesses. Caring is a part of the healing process for so many patients, sometimes lending an ear is better than any prescription. I am so excited to be a part of this ever-growing way of healthcare.”

Mary was born and raised in Polk County and has called Cleveland home for the past 24 years. She and her husband Dale have two wonderful boys, Jordan and Clayton. In her spare time, she loves to cook, spend time with her family, and play with fur babies Lulu and Coco.

Neyland Shaw

Certified Medical Assistant
DPCA Athens
Neyland Shaw, CMA, has worked in healthcare for a total of 8 years, obtaining her medical assistant certification through the National Healthcareer Association in 2017. She loves working as a CMA to help care for others. As a part of the DPCA care team, she has really enjoyed getting to know her patients personally and having the time to care for them like family.

In her free time, Neyland enjoys spending time with her husband Damon, and their daughter Skyler, and their families. Together, they enjoy being outdoors enjoying nature: the mountain, the river, and all their hometown of Tellico Plains as to offer. It’s also nice to get away, now and then, and she also enjoys traveling and looking forward to new adventures !
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Josh mcgrew

DPCA Athens
Josh is a Knoxville native. He earned a bachelor's degree from Tennessee Tech University and an MBA from Auburn to support a career in supply chain management and process engineering. While working in that field he realized that what really drove him was a desire to help the people around him.

During that time he was introduced to the physician assistant career and the opportunity it allows for helping others. This led him to make a decision with the support of his wife to go back to school and change careers. He earned his physician assistant degree from Milligan University and since then has been thrilled to have the opportunity to get to work with his patients in an effort to better understand and improve their health.

Josh grew up camping in and exploring the forests of East Tennessee. He and his wife, Aftin, are mountain bike and whitewater enthusiasts that love to spend their weekends on local trails or rivers.

Our Commitment

Personalized care tailored to you.

A healthcare provider who knows you and your family.

Same to next-day appointments with little-to-no wait.

Extended visits – much longer than your standard 8-minute appointment.

Convenient connectivity – call, text or email your provider.

No hassling with insurance every time you visit.

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Our Goals

To provide you, your family, and your employees with personal primary care that re-defines your experience of going to the doctor

We provide personal & convenient healthcare you can afford and eliminate insurance from the equation

Remain cost effective while providing the highest quality care