Business phone system for chiropractic offices in Tennessee
668 chiropractic offices operated in Tennessee in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 668CBP 2023
- Employees
- 2,732mid-March 2023
- Per 100k residents
- 9.2U.S. 11.7
- State rank
- 21st of 51by count
The chiropractic office industry in Tennessee
Tennessee had 668 chiropractic offices in 2023, according to Census County Business Patterns (NAICS 621310, Offices of Chiropractors). They employed 2,732 people in mid-March and reported $111.6 million in annual payroll. That is the 21st highest count among the 51 states and DC with published figures. Chiropractic offices make up 0.44% of the 150,129 business establishments in the state.
Per 100,000 residents (2024 estimate) Tennessee has 9.2 chiropractic offices, 21.2% below the national rate of 11.7. The average establishment has 4.1 employees against 3.8 nationally. Payroll per employee is $40,858, in line with the U.S. figure of $40,336.
| Measure | Tennessee | United States |
|---|---|---|
| Establishments | 668 | 39,913 |
| Mid-March employees | 2,732 | 150,066 |
| Annual payroll | $111,625,000 | $6,053,057,000 |
| Employees per establishment | 4.1 | 3.8 |
| Payroll per employee | $40,858 | $40,336 |
| Establishments per 100,000 residents | 9.2 | 11.7 |
Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.
Tennessee's largest markets for chiropractic offices
Census published chiropractic office counts for 21 metro or micropolitan areas that include part of Tennessee. The largest is Nashville, TN, with 261 establishments. Single-state metro and micropolitan areas account for 71% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Nashville, TN | 261 | 1,069 | 12.1 |
| Knoxville, TN | 87 | 366 | 9.1 |
| Chattanooga, TN-GA | 82 | 308 | 13.9 |
| Memphis, TN-MS-AR | 81 | 386 | 6.0 |
| Clarksville, TN-KY | 26 | 147 | 7.5 |
| Kingsport, TN-VA | 26 | 82 | 8.3 |
| Johnson City, TN | 23 | 103 | 10.7 |
| Jackson, TN | 17 | 76 | 9.3 |
| Morristown, TN | 14 | 54 | 11.0 |
| Cleveland, TN | 13 | 56 | 9.8 |
| Cookeville, TN | 10 | 33 | 6.7 |
| Tullahoma, TN | 9 | 33 | 13.2 |
| Sevierville, TN | 7 | — | 7.0 |
| Crossville, TN | 6 | — | 9.1 |
| McMinnville, TN | 5 | — | 11.5 |
| Greeneville, TN | 4 | — | 5.4 |
| Fayetteville, TN | 4 | — | 10.9 |
| Martin, TN | 4 | — | 12.1 |
| Winchester, TN | 3 | — | 6.6 |
| Lewisburg, TN | 3 | — | 7.9 |
| Paris, TN | 3 | 12 | 9.1 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at chiropractic offices in Tennessee
68.9% of Tennessee's chiropractic offices with employees had fewer than five people in March 2023, compared with 72.5% nationally. 91.9% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 460 | 68.9% | 72.5% |
| 5–9 employees | 154 | 23.1% | 21.0% |
| 10–19 employees | 44 | 6.6% | 5.6% |
| 20–49 employees | 10 | 1.5% | 0.7% |
| 50 or more employees | 0 | 0.0% | 0.1% |
Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.
Calls a chiropractic office in Tennessee has to catch
Chiropractic care usually involves a series of visits, so much of the phone traffic is booking, moving and confirming recurring appointments. A small team that is busy treating patients needs calls answered or captured without interrupting adjustments.
Calls a chiropractic office in Tennessee might handle in a typical week include:
- The office calls patients who missed a scheduled visit.
- A regular patient calls to move a standing appointment.
- An insurer calls to verify a treatment record.
When nobody can pick up
Evening callers are usually trying to book or change an appointment, which can wait for a callback if the message is captured accurately.
Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.
Phone system pricing for a 4-person chiropractic office
Chiropractic offices in Tennessee average 4.1 employees, so the comparison uses a 4-person team. Priced per seat, 4 users would run $120.00 a month on RingCentral RingEX Core and $99.80 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). On Callata the same 4 people cost $99.00 a month, less than either per-seat plan.
The annual difference against RingCentral's monthly list price comes to $252. Some vendors discount annual contracts; the table shows month-to-month prices.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $99.00 | $1,188.00 |
| Quo (Starter) | $19.00 per user | $76.00 | $912.00 |
| Nextiva (Core) | $23.00 per user | $92.00 | $1,104.00 |
| Ooma (Office Pro) | $24.95 per user | $99.80 | $1,197.60 |
| Dialpad (Standard) | $27.00 per user | $108.00 | $1,296.00 |
| RingCentral (RingEX Core) | $30.00 per user | $120.00 | $1,440.00 |
Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.
Area codes in Tennessee
Tennessee has 8 geographic area codes in service according to NANPA. You can choose local numbers in the area codes your patients know, subject to carrier inventory, or port your current number for free.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 615 | 781 | Central | 1954 | 629 |
| 423 | 764 | Eastern and Central | 1995 | 729 |
| 901 | 616 | Central | 1947 | none |
| 931 | 538 | Eastern and Central | 1997 | none |
| 865 | 506 | Eastern | 1999 | none |
| 731 | 395 | Central | 2001 | none |
| 629 | 197 | Central | 2015 | 615 |
| 729 | 0 | Eastern and Central | 2025 | 423 |
Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.
How Callata works for chiropractic offices in Tennessee
Callata is a business phone system priced at $99 a month with 5 users included, then $20 per additional user. Callata Office includes up to 3 local business numbers, unlimited inbound calling, 1,500 pooled outbound US and Canada minutes per user each month, a browser softphone that can also ring your cell, voicemail with transcription, call recording with AI summaries, business-hours routing and E911 on every number.
If you already have a number in Tennessee, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.
Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 9pm.
Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.
Frequently asked questions
How many chiropractic offices are in Tennessee?
668 in 2023, according to Census County Business Patterns. They employed 2,732 people in mid-March.
Which Tennessee metro area has the most chiropractic offices?
Nashville, TN, with 261 establishments in 2023.
What does a phone system cost a 4-person chiropractic office?
$120.00 a month on RingCentral RingEX Core or $99.80 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $99.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Tennessee number?
Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.