Advanced Practice Provider - Full Time - Outpatient - Gastroenterology

Local GI market

85 gastroenterologists

within 30 miles. That is 16.5 per 100,000 adults aged 45-74, 21% more than the US average (13.6).

28% of them finished medical school 30 or more years ago (US: 36%).

Source: CMS Doctors and Clinicians file; Census ACS 2019-2023.

Procedure mix nearby

67% colonoscopy

Medicare fee-for-service procedures billed within 30 miles in 2024: 19,568 colonoscopies, 8,259 EGDs, 579 ERCPs, 604 EUS.

ERCP volume is typical and EUS is heavy for the population, compared with the US (adjusted for Medicare Advantage share). 96% done in a hospital or surgery center; 61% by gastroenterologists.

61.7% of adults 45-75 in this county are up to date on colorectal screening, 1.5 points below the state (63.2%).

56% of Medicare patients here are in Medicare Advantage (state: 54%). Medicare procedure counts above cover only the other 44%.

Source: CMS Medicare Physician and Other Practitioners by provider and service, 2024 (fee-for-service only; services for fewer than 11 patients hidden). CMS MA penetration; CDC PLACES 2025 (2022 survey).

Cost of living

Prices in Tennessee are 8.1% below the US average.

Tennessee has no state income tax on wages.

Source: BEA regional price parities, 2024. State level; big metros cost more. Tax: Tax Foundation 2026 state brackets.

Hospitals and surgery centers

18 hospitals, 42 surgery centers

within 30 miles. 15 of the hospitals run an emergency department; 10 of 15 rated hold 4 or 5 CMS stars.

Nearest: Metro Nashville General Hospital (1 mi, 4 stars); Tristar Centennial Medical Center (2 mi, 4 stars); Saint Thomas Hospital for Spinal Surgery (2 mi).

16 of the surgery centers reported 15,784 Medicare outpatient colonoscopies in a year. More endoscopy centers usually means more ASC ownership and partnership options.

Source: CMS Care Compare, Hospital General Information and ASC Quality Reporting (ASC-12 colonoscopy cases, Medicare fee-for-service). Located by ZIP code.

State rules for your contract

Noncompete: Limited by state law

Allowed within statutory limits on time and distance. Emergency physicians exempt. Tenn. Code § 63-1-148. Usually covers only contracts signed after that date.

Interstate Medical Licensure Compact: member (faster multi-state licensing).

State law summary, not legal advice. Have a contract lawyer read your agreement. Source; IMLC states; all states.

Employer

Academic medical center, 501(c)(3)

The employer is a 501(c)(3) nonprofit. W-2 jobs with it usually count toward Public Service Loan Forgiveness (PSLF). Confirm which entity pays you.

Source

Visas (H-1B / J-1)

No H-1B filings for GI physicians from this employer in the data we hold. That does not mean it will not sponsor.

All GI H-1B filings in Tennessee: 17, median $500k.

Parts of this county are federal primary care shortage areas (HPSAs). Check the exact practice address. Conrad 30 J-1 waiver jobs usually must be in a shortage area; each state sets its own rules. State J-1 waiver contacts (3RNET).

Source: US Dept. of Labor LCA disclosure data (certified H-1B, FY2024-FY2026); HRSA HPSA data. All GI H-1B employers