Business phone system for physician practices in Tennessee
4,291 physician practices operated in Tennessee in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 4,291CBP 2023
- Employees
- 82,335mid-March 2023
- Per 100k residents
- 59.4U.S. 60.2
- State rank
- 14th of 51by count
How many physician practices operate in Tennessee
Tennessee had 4,291 physician practices in 2023, according to Census County Business Patterns (NAICS 621111, Offices of Physicians (except Mental Health Specialists)). They employed 82,335 people in mid-March and reported $8.3 billion in annual payroll. That is the 14th highest count among the 51 states and DC with published figures. Physician practices make up 2.9% of the 150,129 business establishments in the state.
Per 100,000 residents (2024 estimate) Tennessee has 59.4 physician practices, in line with the national rate of 60.2. The average establishment has 19.2 employees against 13.2 nationally. Payroll per employee is $100,886, 4.5% below the U.S. figure of $105,652.
| Measure | Tennessee | United States |
|---|---|---|
| Establishments | 4,291 | 204,617 |
| Mid-March employees | 82,335 | 2,706,297 |
| Annual payroll | $8,306,483,000 | $285,925,593,000 |
| Employees per establishment | 19.2 | 13.2 |
| Payroll per employee | $100,886 | $105,652 |
| Establishments per 100,000 residents | 59.4 | 60.2 |
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.
Physician practices by metro area in Tennessee
Census published medical practice counts for 27 metro or micropolitan areas that include part of Tennessee. The largest is Nashville, TN, with 1,554 establishments. Single-state metro and micropolitan areas account for 69% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Nashville, TN | 1,554 | 36,323 | 72.3 |
| Memphis, TN-MS-AR | 677 | 12,999 | 50.5 |
| Knoxville, TN | 590 | 9,011 | 61.6 |
| Chattanooga, TN-GA | 331 | 6,563 | 56.3 |
| Kingsport, TN-VA | 237 | 3,923 | 75.5 |
| Johnson City, TN | 149 | 2,128 | 69.3 |
| Clarksville, TN-KY | 123 | 1,318 | 35.6 |
| Jackson, TN | 97 | 1,715 | 52.8 |
| Cookeville, TN | 95 | 884 | 63.4 |
| Morristown, TN | 61 | 602 | 48.1 |
| Cleveland, TN | 57 | 784 | 43.1 |
| Tullahoma, TN | 54 | 398 | 79.3 |
| Sevierville, TN | 46 | — | 45.9 |
| Crossville, TN | 40 | — | 61.0 |
| McMinnville, TN | 39 | 281 | 89.4 |
| Greeneville, TN | 33 | 250 | 45.0 |
| Dyersburg, TN | 22 | 173 | 60.4 |
| Athens, TN | 20 | 182 | 28.3 |
| Winchester, TN | 17 | 248 | 37.7 |
| Lawrenceburg, TN | 16 | 248 | 34.4 |
| Martin, TN | 14 | — | 42.2 |
| Fayetteville, TN | 13 | 106 | 35.4 |
| Shelbyville, TN | 12 | 62 | 22.1 |
| Newport, TN | 10 | 107 | 26.6 |
| Union City, TN | 9 | 87 | 29.7 |
Top 25 of 27 areas by establishments. Source: Census CBP 2023.
Team sizes at physician practices in Tennessee
41.7% of Tennessee's physician practices with employees had fewer than five people in March 2023, compared with 52.7% nationally. 62.3% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 1,788 | 41.7% | 52.7% |
| 5–9 employees | 887 | 20.7% | 18.7% |
| 10–19 employees | 839 | 19.6% | 14.7% |
| 20–49 employees | 508 | 11.8% | 9.8% |
| 50 or more employees | 269 | 6.3% | 4.2% |
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.
What physician practices in Tennessee use the phone for
Physician offices field a steady stream of scheduling, prescription refill and test-result calls, and the same few staff members usually answer all of them. Routing calls to the right person and capturing clear messages keeps the waiting room and the phone lines moving.
Calls a medical practice in Tennessee might handle in a typical week include:
- The office calls patients to confirm tomorrow's appointments.
- A patient calls asking whether lab results have arrived.
- A pharmacy calls to clarify a medication order.
Texting patients
Practices typically text appointment reminders, arrival instructions and requests to call the office, keeping clinical details for secure channels.
Texting from a local number in Tennessee requires carrier registration (10DLC), a one-time $49 fee on Callata.
Phone system pricing for a 19-person medical practice
Physician practices in Tennessee average 19.2 employees, so the comparison uses a 19-person team. On a per-user plan that headcount sets the bill: $474.05 a month on Ooma Office Pro or $570.00 on RingCentral RingEX Core at list price (checked September 28, 2026). Callata comes to $379.00 a month for 19 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $2,292 less than RingCentral for a medical practice in Tennessee of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $379.00 | $4,548.00 |
| Quo (Starter) | $19.00 per user | $361.00 | $4,332.00 |
| Nextiva (Core) | $23.00 per user | $437.00 | $5,244.00 |
| Ooma (Office Pro) | $24.95 per user | $474.05 | $5,688.60 |
| Dialpad (Standard) | $27.00 per user | $513.00 | $6,156.00 |
| RingCentral (RingEX Core) | $30.00 per user | $570.00 | $6,840.00 |
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. Callata includes up to 3 local numbers, so a medical practice can hold a number in more than one of them.
| 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 physician practices 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.
Porting a number you already use in Tennessee is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.
AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–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 physician practices are in Tennessee?
4,291 in 2023, according to Census County Business Patterns. They employed 82,335 people in mid-March.
Which Tennessee metro area has the most physician practices?
Nashville, TN, with 1,554 establishments in 2023.
What does a phone system cost a 19-person medical practice?
$570.00 a month on RingCentral RingEX Core or $474.05 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $379.00 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.