Medically underserved areas & HPSA profile

Medically Underserved Areas in Tennessee

99 Medically Underserved Areas and 385 active HRSA Health Professional Shortage Area designations across Tennessee.

MUAs
99
Total HPSAs
385
Primary care
151
Mental health
84
Dental
150

Lower-middle density verdict

Tennessee sits in the lower-middle quarter by active designations per resident. According to current HRSA Data Warehouse records, its 95 counties carry 385 active shortage designations; Davidson County has the largest county count at 24, while about 13.5% of residents live in a geographic shortage county.

385
Active HPSA designations
151
Primary-care shortages
99
Medically underserved areas
13.5%
Residents in a shortage county

Key findings

What the HRSA Data Warehouse does not surface for Tennessee on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.

  1. Davidson County holds 6.2% of Tennessee's 385 active designations (24 of 385).

    93 of 95 counties in this profile carry at least one active record; the remainder are zero-active on this release.

  2. 39.2% of Tennessee's active designations are primary care.

    Discipline mix from state aggregates: 151 primary care, 84 mental health, 150 dental (denominator 385).

  3. Closing Tennessee's active designations would take about 727 additional clinician FTEs, led by primary care.

    HRSA providers_needed summed once per HPSA id across the state: 306 primary care, 148 mental health, 273 dental. Federal gap estimate, not a practising-clinician headcount.

Corpus placement

Where Tennessee sits among all 56 states and territories

Tennessee carries 385 active HPSA designations for a population of 6,910,840, which is 5.6 per 100,000 residents, ranking it 35 of 56 and above 38% of states and territories, against a median of 7.3.

19 of those are county-wide geographic designations; the remainder are facility-, population- or clinic-based, which is why the county map and the designation count answer different questions.

Designation density tracks rural geography as much as unmet need: AK records 134.7 designations per 100,000 residents and NJ 1.5, because a sparsely-settled state accumulates more separate designations to cover the same population. Designations also overlap, so this counts designations, not people. Counted as distinct HRSA designation IDs, the same unit as the totals above. Computed from the designation records and county populations behind this page; states without county population data are given no placement rather than an estimated one.

Medically Underserved Areas
99
Residents in Geographic Shortage Areas
935,795
% Residents in Geographic Shortage
13.5%

HRSA Counties Indexed

95

with HPSA / MUA coverage

Discipline Mix

151 / 84 / 150 PC/MH/D

Primary care · Mental health · Dental

% Residents in Geographic Shortage-Designated Counties 13.5%

Tennessee Shortage Designations by Care Type

How Tennessee's 385 active HRSA designations split across the three provider categories. According to KFF's May 2026 tracker, Tennessee has not adopted ACA Medicaid expansion. That policy context does not measure provider supply, appointment availability, or care quality.

Tennessee HPSA designations by type

Active Health Professional Shortage Area designations, by provider category.

designations
Source HRSA Data Warehouse, designated HPSAs As of 2026

Tennessee HPSA Counties by Care Type

County lists for the three HRSA shortage disciplines searchers ask for by name (dental, primary care, mental health). Counts are live designated-HPSA records in this release, not provider headcounts.

Dental HPSA counties in Tennessee

84 counties with at least one active dental designation ; led by Shelby (8). Full list (designation count in parentheses): Shelby (8) , Davidson (7) , Hardeman (5) , Campbell (4) , Hamilton (4) , Monroe (4) , Warren (4) , Bedford (3) , Chester (3) , Coffee (3) , Cumberland (3) , Humphreys (3) , McMinn (3) , Polk (3) , Bledsoe (2) , Carroll (2) , Claiborne (2) , Cocke (2) , Dickson (2) , Fentress (2) ; plus 64 more in the table below.

Primary-care HPSA counties in Tennessee

90 counties with at least one active primary-care designation ; led by Shelby (10). Full list: Shelby (10) , Davidson (9) , Hardeman (5) , Campbell (4) , Hamilton (4) , Monroe (4) , Warren (4) , Bedford (3) , Chester (3) , Coffee (3) , Cumberland (3) , Humphreys (3) , Lake (3) , McMinn (3) , Polk (3) , Bledsoe (2) , Carroll (2) , Claiborne (2) , Cocke (2) , Dickson (2) ; plus 70 more in the table below.

Mental-health HPSA counties in Tennessee

77 counties with at least one active mental-health designation ; led by Davidson (8). Full list: Davidson (8) , Hardeman (6) , Hamilton (5) , Campbell (4) , Monroe (4) , Shelby (4) , Warren (4) , Chester (3) , Cumberland (3) , Bedford (2) , Bledsoe (2) , Carroll (2) , Claiborne (2) , Cocke (2) , Coffee (2) , Dickson (2) , Fentress (2) , Gibson (2) , Hardin (2) , Henderson (2) ; plus 57 more in the table below.

All counties in Tennessee, by total shortage volume

The 40 counties with the most active HPSA designations, of 95 in Tennessee. Columns split primary care, mental health, and dental.

# County DesignationsPrimary CareMental HealthDentalMUA
1 Davidson 24 9 8 7 MUA
2 Shelby 22 10 4 8 MUA
3 Hardeman 16 5 6 5 MUA
4 Hamilton 13 4 5 4 MUA
5 Campbell 12 4 4 4 MUA
6 Monroe 12 4 4 4 MUA
7 Warren 12 4 4 4 MUA
8 Chester 9 3 3 3 MUA
9 Cumberland 9 3 3 3 MUA
10 Bedford 8 3 2 3 MUA
11 Coffee 8 3 2 3 MUA
12 Humphreys 8 3 2 3 MUA
13 McMinn 8 3 2 3 MUA
14 Polk 8 3 2 3 MUA
15 Lake 7 3 2 2 MUA
16 Bledsoe 6 2 2 2 MUA
17 Carroll 6 2 2 2 MUA
18 Claiborne 6 2 2 2 MUA
19 Cocke 6 2 2 2 MUA
20 Dickson 6 2 2 2 MUA
21 Fentress 6 2 2 2 MUA
22 Gibson 6 2 2 2 MUA
23 Hardin 6 2 2 2 MUA
24 Henderson 6 2 2 2 MUA
25 Henry 6 2 2 2 MUA
26 Morgan 6 2 2 2 MUA
27 Perry 6 2 2 2 MUA
28 Putnam 6 2 2 2 MUA
29 Rhea 6 2 2 2 MUA
30 Scott 6 2 2 2 MUA
31 Sevier 6 2 2 2 MUA
32 Williamson 6 2 2 2 -
33 Hawkins 5 2 1 2 MUA
34 Knox 5 2 1 2 MUA
35 Meigs 5 2 1 2 MUA
36 Sumner 5 2 2 1 -
37 Van Buren 5 1 2 2 MUA
38 Washington 5 2 1 2 MUA
39 Maury 4 1 2 1 -
40 Rutherford 4 2 1 1 -

Medically Underserved Areas in Tennessee

Showing 30 of 99 MUA designations (lowest MUA Index first, i.e. most underserved).

Name MUA Index
Johnson County 43.0
Lake County MUA 44.0
Hancock County 44.0
Tipton Service Area 44.9
LI-Pickett County 48.0
Davidson Service Area 48.3
LI-Henry County 49.0
Morgan County 49.0
Polk County 50.0
Jackson County 51.0
Perry County 51.0
Van Buren County 51.0
East Jackson Service Area 51.5
LI - Obion County 52.0
Wayne County 52.0
South Memphis/Orange Mound 52.3
LI - Weakley County 53.0
Trousdale Service Area 53.3
Knox Service Area 53.6
Knox Service Area 53.6
Cocke County 53.8
LI - McMinn County 54.0
LI-Dyer County 54.0
Union Service Area 54.0
Decatur County 54.0
Hardeman County 54.0
LI - Franklin County 54.0
Wilson Service Area 54.4
Lewis County 55.0
LI-Carroll County 55.0

Lower-middle density reading for Tennessee

Tennessee sits below the national mid-pack by designations per resident with 385 active records across 95 counties. A moderate footprint still matters: a single high-score dental or mental-health record can open program geography even when the state total looks small next to denser peers.

About 13.5% of residents live in a geographic shortage county. Use the county ranking below to see which localities drive that share.

Frequently Asked Questions

How many Medically Underserved Areas are in Tennessee?
Tennessee has 99 Medically Underserved Areas (MUAs). About 935,795 residents (13.5% of the state) live in a county with a geographic HRSA shortage designation. MUA-designated areas qualify for enhanced federal funding and Community Health Center grants.
Which counties in Tennessee have dental HPSA designations?
84 Tennessee counties carry at least one active dental Health Professional Shortage Area in the current HRSA release: Shelby (8), Davidson (7), Hardeman (5), Campbell (4), Hamilton (4), Monroe (4), Warren (4), Bedford (3), Chester (3), Coffee (3), Cumberland (3), Humphreys (3), McMinn (3), Polk (3), Bledsoe (2), Carroll (2), Claiborne (2), Cocke (2), Dickson (2), Fentress (2); plus 64 more on the table below. Counts are designated dental HPSA records per county, not a dentist headcount.
Are there doctor shortages in Tennessee?
Yes. Tennessee has 385 Health Professional Shortage Areas (HPSAs), including 151 in primary care, 84 in mental health, and 150 in dental care. About 13.5% of Tennessee residents live in a county that HRSA has designated as a geographic (whole-community) shortage area; additional residents are covered by population-group and facility designations counted separately.

Source: HRSA Data Warehouse Not affiliated with HRSA

Choose the next comparison

Use Tennessee's designation totals as a starting point, then move to the comparison that answers the next decision without treating a shortage designation as a personal care outcome.

  • Compare Tennessee's primary-care shortage record with every other state before drawing conclusions from a raw total; population and geography affect designation counts. Compare states
  • Davidson County has the most active HPSA designations in this state profile. Open its county record to inspect the local primary-care, mental-health, and dental breakdown. Open county profile
  • Use the national statistics reference for the source vintage, aggregate context, and methodology behind these state-level figures. Read national context

HRSA designations describe structural provider-shortage criteria and federal-program eligibility. They do not measure appointment availability, insurance coverage, care quality, or an individual patient’s access to care.

Verify with U.S. Census Bureau →

Verify with CMS →

Every figure on PlainHealthAccess is rendered directly from HRSA source data, no number is typed in by an editor. This page aggregates every county-level HPSA and MUA designation on record for Tennessee (TN) and ranks the state's per-capita designation density among all states and territories. Designations describe federal shortage criteria, not appointment availability or care quality for any person. See our editorial standards & corrections policy, the methodology behind these numbers, review the public data changelog, or report a data issue for this page. Data current as of 2026.