Photo of Brian Fretwell

Brian Fretwell, PA-C

DPC Family Medicine physician assistant, Cleveland, TN

Direct Primary Care Associates PLLC

Brian Fretwell is a physician assistant and founder of Direct Primary Care Associates who began his career as a field and flight paramedic.

2080 Chambliss Avenue, Suite 2, Cleveland, TN 37919
At a glance
Practice model
Direct primary care, does not bill insurance
Adult membership
$89 a month

Facts on this page last checked October 2026. How we check doctors

About Brian Fretwell

Fretwell started his career as a field and flight paramedic. He later earned degrees in physician assistant studies and public health at Nova Southeastern University. His work has covered emergency, family and occupational medicine.

He founded Direct Primary Care Associates after seeing insurance-based primary care break down. He is the practice's founder and chief executive officer. His interests include family time, travel, hunting, fishing and Tennessee football.

Membership and fees

Membership at Direct Primary Care Associates is $89 a month for adults 18 and over and $35 a month for children under 18 on a family account, while a minor enrolling on their own pays $60 a month without the pharmacy benefit.

The family maximum is $248 a month for two adults and two or more children, and there is a one-time enrollment fee of $75 per family.

Employer membership is $79 a month per employee, with drug testing billed separately.

Education and credentials

Degree
MPH
PA program
Nova Southeastern University
Other certification
PA-C
NPI
1508930843

Hospital and practice affiliations

Founder and Chief Executive Officer, Direct Primary Care Associates

Location

2080 Chambliss Avenue, Suite 2, Cleveland, TN 37919
Direct Primary Care Associates PLLC practice page
Directions

Recognition and research

Media and books

Appeared on a 2023 Primary Care Cures podcast episode about low-cost generic drugs through myDPCrx.
Was a guest on The DPC NP podcast in April 2025, talking about the DPC Momentum Model and financial stability in direct primary care.

Patient reviews

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Questions patients ask

Does Brian Fretwell take insurance, or offer a membership?

Direct Primary Care Associates describes itself as a direct primary care practice that sells monthly memberships. The practice does not bill insurance for its care. Members get unlimited office visits and same or next day appointments.

How much does a membership at Direct Primary Care Associates cost?

Adults 18 and over pay $89 a month, and children under 18 on a family account pay $35 a month. There is also a one-time enrollment fee of $75 per family.

Where did Brian Fretwell train?

Fretwell earned degrees in physician assistant studies and public health at Nova Southeastern University.

Where is Brian Fretwell's office?

Fretwell is the founder and chief executive officer of Direct Primary Care Associates, PLLC.

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