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Consulting firms headquartered in Tennessee

Tamtam tracks 46 consulting firms headquartered in Tennessee. This list ranks all of them by number of employees on LinkedIn, led by Vaco, HealthTrust Performance Group and Highspring. Their median headcount is 366. Half of them were founded in 2003 or later. The most common headquarters are Nashville (24), Brentwood (7) and Franklin (5).

馃嚭馃嚫 Tennessee46 companiesUpdated Nov 2, 2026
#CompanyIndustryHeadquarters EmployeesFounded
1
Vacovaco.com

Vaco is a global talent solutions company specializing in accounting, IT, HR, and operations, offering staffing, managed services, and executive search

Staffing and Recruiting 馃嚭馃嚫 Brentwood 2,443 n/a
2
HealthTrust Performance Grouphealthtrustpg.com

A healthcare organization based in Nashville, TN, providing purchasing solutions and advisory services to over 1,800 hospitals and 57,000+ healthcare locations

Hospitals and Health Care 馃嚭馃嚫 Nashville 1,953 1999
3
Highspringhighspring.com

Global professional services organization offering consulting, managed services, and tailored talent solutions across finance, IT, risk, and transformation.

Professional Services 馃嚭馃嚫 Brentwood 1,784 2002
4
Southwestern Family of Companiessouthwestern.com

A purpose-driven, employee-owned company investing in people and building businesses that positively impact communities worldwide since 1855

Executive Offices 馃嚭馃嚫 Nashville 1,555 n/a
5
Gresham Smithgreshamsmith.com

A team of designers and planners dedicated to improving communities by creating vital infrastructure and institutions with a focus on collaboration and care

Design Services 馃嚭馃嚫 Nashville 1,428 1967
6
KANINIkanini.com

Enabling digital transformation through software services, data analytics, AI, and ServiceNow consultation for various industries, improving efficiency and revenues.

Software Development 馃嚭馃嚫 Nashville 1,075 2003
7
YA Groupyagroup.com

Specializing in building consulting services since 1997, our company helps control costs for property losses, damages, and builder's risk claims, facilitating quick and fair resolutions

Business Consulting and Services 馃嚭馃嚫 Nashville 880 1997
8
Smith Seckman Reid, Inc.ssr-inc.com

An employee-owned engineering and consulting firm specializing in providing solutions for engineering, commissioning, sustainability, technology, and equipment planning

Design Services 馃嚭馃嚫 Nashville 842 1968
9
CereCorecerecore.net

A healthcare IT company providing EHR consulting, implementation, support, staffing, and advisory services to hospitals and health systems in the US and UK

IT Services and IT Consulting 馃嚭馃嚫 Nashville 836 2011
10
LBMClbmc.com

A leading professional services provider offering accounting, finance, HR, technology, risk, and wealth advisory services with a strong focus on client relationships and employee satisfaction

Accounting 馃嚭馃嚫 Brentwood 776 1984
11
FullStackfullstack.com

software engineering company providing AI solutions, product engineering, application modernization, and digital transformation services for global enterprises

Technology, Information and Internet 馃嚭馃嚫 Brentwood 767 2013
12
McKesson Health Solutionsbusiness.optum.com

The company is a healthcare technology solutions provider dedicated to improving all points of care delivery for better patient outcomes and system efficiency

Hospitals and Health Care 馃嚭馃嚫 Nashville 669 1986
13
Barge Design Solutionsbargedesign.com

A multidisciplinary team impacting local communities through engineering, architecture, planning, and surveying services across five states Ranked on ENR's Top 500 list

Design Services 馃嚭馃嚫 Nashville 665 1955
14
Arctiqarctiq.com

National systems integrator providing IT consulting, end-to-end IT solutions, managed services, and product sales to government, education, healthcare, and enterprise clients nationwide

IT Services and IT Consulting 馃嚭馃嚫 Brentwood 647 n/a
15
Petauripetauri.com

A pharmaceutical commercialization services organization focused on global market access, medical affairs, patient services, data analytics, and digital solutions

Hospitals and Health Care 馃嚭馃嚫 Nashville 496 2023
16
EnSafeensafe.com

EnSafe Inc provides innovative engineering, environmental, health & safety, and technology services globally, offering custom solutions and creative approaches to client needs

Environmental Services 馃嚭馃嚫 Memphis 493 1980
17
Green Mountaingreenmt.com

This company provides Parcel and LTL Spend Management solutions, offering audit systems, spend analysis software, and contract management for data-driven supply chain decisions

Transportation, Logistics, Supply Chain and Storage 馃嚭馃嚫 Memphis 447 1999
18
Ovation Healthcareovationhc.com

A healthcare support organization providing shared services to hospitals of all sizes across the United States for 45 years

Hospitals and Health Care 馃嚭馃嚫 Brentwood 431 n/a
19
Chirok Healthchirokhealth.com

Chirok Health specializes in chart review services to help healthcare providers improve patient care and revenue management with flexibility and collaboration

Business Consulting and Services 馃嚭馃嚫 Nashville 421 2020
20
Premier BPO, LLC.premierbpo.com

Leading provider of tailored knowledge process solutions for various industries, offering co-sourcing services and technology-driven solutions for business functions since 2003

Outsourcing and Offshoring Consulting 馃嚭馃嚫 Clarksville 398 2003
21
Rk Enterprisesrkenterprises.com

A leading IT consulting and business services company offering comprehensive solutions, including application development, IT consulting, data warehousing, and project management services

IT Services and IT Consulting 馃嚭馃嚫 Manchester 389 n/a
22
Clearwaterclearwatersecurity.com

Providing healthcare organizations with solutions to ensure patient safety, protect health information, and maintain regulatory compliance across systems.

Computer and Network Security 馃嚭馃嚫 Nashville 375 2009
23
Grace Design Studiosgrace-design.com

Grace Hebert Curtis is a design firm with over 50 years of experience, providing innovative solutions and building long-term client relationships

Architecture and Planning 馃嚭馃嚫 Nashville 366 1967
24
PYApyapc.com

An independent CPA firm providing management consulting, accounting services, and expertise in regulatory compliance, mergers, governance, valuations, tax, audit, and operations optimization

Business Consulting and Services 馃嚭馃嚫 Knoxville 351 1983
25
Designed Conveyor Systems (DCS)designedconveyor.com

The company focuses on building relationships and teamwork to create tailored solutions rather than selling ready-made ones

Transportation, Logistics, Supply Chain and Storage 馃嚭馃嚫 Franklin 342 1982
26
TRC Worldwide Engineering, Inc.trcww.com

A full-service engineering consulting firm offering expertise in 11 disciplines, including structural, mechanical, and design-build construction services with a focus on service, innovation, and quality

Engineering Services 馃嚭馃嚫 Brentwood 338 1989
27
LSI - Logical Systems Inc.logicalsysinc.com

Outcome-driven systems integrator specializing in process improvement, electrical engineering, automation, and cybersecurity, delivering value through understanding clients' needs and providing tailored solutions

Engineering Services 馃嚭馃嚫 Memphis 328 1985
28
Provisions Groupprovisionsgroup.com

Integrated healthcare consulting and staffing firm optimizing clinical applications, data systems, EHR workflows, and patient engagement to drive operational efficiency and growth.

Business Consulting and Services 馃嚭馃嚫 Franklin 325 2003
29
I.C. Thomasson Associates, Inc., a Salas O'Brien Companyicthomasson.com

A multidisciplinary engineering firm providing mechanical, electrical, controls, plumbing, fire protection, IT, energy efficiency, and environmental services for various industries worldwide

Design Services 馃嚭馃嚫 Nashville 312 1942
30
ProTech Services Group, Inc.psgi.net

A business services company based in Memphis, TN, providing technology solutions for growth, profitability, and security through managed services, consulting, security, cloud services, and talent acquisition

IT Services and IT Consulting 馃嚭馃嚫 Memphis 311 1992
31
Edgewater Technical Associates, LLCedgewatertech.net

Provider of professional and technical services in nuclear and hazardous operations, supporting government agencies and commercial nuclear industry across US and Canada

Facilities Services 馃嚭馃嚫 Oak Ridge 308 2003
32
Southwestern Consultingsouthwesternconsulting.com

Southwestern Consulting specializes in elevating sales practices, offering coaching, consulting, and keynote speaking services to enhance revenue and reputation ethically

Professional Training and Coaching 馃嚭馃嚫 Nashville 199 n/a
33
CORE Safety Groupcoresafety.com

A team of certified safety professionals with vast industry experience offering nationwide safety management, loss control services, and OSHA violation assistance

Construction 馃嚭馃嚫 Chattanooga 181 2009
34
Cumberlandtegria.com

A healthcare consulting firm offering strategic advisory, technology, and managed services to advance the business of healthcare

IT Services and IT Consulting 馃嚭馃嚫 Franklin 178 2004
35
MasterBornmasterborn.com

A top-tier software development company specializes in SportsTech, FinTech, and MedTech, utilizing React, React Native, and Nodejs to drive client product success

Software Development 馃嚭馃嚫 Nashville 109 2016
36
R艒nin Consultingronin.consulting

A US-based consulting firm specializing in strategy, technology, and business transformation, helping companies tackle challenging projects and scale up with expert skills

Software Development 馃嚭馃嚫 Franklin 38 2017
37
Formos Consultingformosconsulting.com

A management and technology consulting firm specializing in finance, IT, healthcare, project management, risk advisory, compliance, software implementation, talent resourcing, and transformation services

Business Consulting and Services 馃嚭馃嚫 Nashville 36 2003
38
Intevityintevity.com

A digital-focused management consultancy helping Fortune 500 companies overcome alignment, relevance, and velocity challenges to drive meaningful business outcomes

Business Consulting and Services 馃嚭馃嚫 Franklin 31 2003
39
LTL-Teamltl-team.com

A leader in land acquisition, relocation, and noise mitigation services, specializing in project management for various industries and government agencies

Real Estate 馃嚭馃嚫 Nashville 25 1986
40
Private Capital Advisorsprivatecapitaladvisors.com

Boutique investment banking firm specializing in private placements, mergers and acquisitions advisory services, representing clients in transactions and creating financial models

Venture Capital and Private Equity Principals 馃嚭馃嚫 Nashville 10 2004
41
10th Avenue10thave.pro

The company partners with small and medium businesses to address technology challenges and optimize operations and people management during times of change

Business Consulting and Services 馃嚭馃嚫 Nashville 8 2017
42
Clear Leader Groupclearleadergroup.com

This company uses data science to help C-suite and sales teams optimize performance, make fast decisions, and drive growth through strategic people and process changes

Business Consulting and Services 馃嚭馃嚫 Knoxville 6 2016
43
B2B Catalystb2bcatalyst.com

The company aims to enhance the workplace experience by improving systems, currently focusing on assisting tech sales teams to engage budgeted buyers

Business Consulting and Services 馃嚭馃嚫 Nashville 6 2018
44
Rachel + Winfree Consultingrachelwinfree.com

Data analytics consulting firm specializing in data strategy design, coaching, culture change, and management solutions to help small and medium businesses leverage data effectively

Business Consulting and Services 馃嚭馃嚫 Nashville 5 2017
45
V3 LLCv3.io

A professional consulting firm specializing in optimizing business functionality through technology solutions like virtualization, automation, software defined storage, and Azure deployments

IT Services and IT Consulting 馃嚭馃嚫 Nashville 3 n/a
46
Shuttle IT Consultingshuttleconsulting.com

A dedicated partner in digital transformation, offering web development, UX/UI design, and custom solutions to integrate innovative technologies into businesses seamlessly

IT Services and IT Consulting 馃嚭馃嚫 Nashville 1 2023

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How this list is built

Every company on this list has a Tamtam company profile. The industry is the one the company gives on LinkedIn; categories such as SaaS or fintech are classified by Tamtam's AI from the company's website and LinkedIn page; and the headquarters city must match the company's own address. Companies are ranked by the number of employees on LinkedIn, and the list is refreshed every night. Classifications can be wrong, so treat the list as a starting point rather than an official ranking. Last updated Nov 2, 2026.

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