Professional services firms headquartered in Tennessee (2026 list)

This list features large professional services firms in Tennessee. The companies are primarily focused on healthcare, IT, and general business consulting. For example, Parallon provides revenue cycle management for healthcare, Vaco offers global talent solutions, Emids specializes in digital transformation for healthcare and life sciences, and HealthTrust Performance Group provides purchasing solutions for hospitals.

A notable pattern is the concentration of headquarters in Nashville, with several other significant firms located in nearby Brentwood and Franklin. Many of these firms, such as Emids and HealthTrust Performance Group, were founded around the turn of the millennium, indicating a period of growth in these sectors.

#	Company	Industry	Headquarters	Employees	Founded
1	Parallon parallon.com This company based in Nashville provides revenue cycle management services for healthcare providers, including scheduling, billing, collections, compliance, and more	Hospitals and Health Care	🇺🇸 Nashville	6,975	n/a
2	Vaco vaco.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	🇺🇸 Brentwood	2,443	n/a
3	Emids emids.com A Nashville-based company founded in 1999, providing digital transformation solutions in healthcare and life sciences through tailored strategies, design, and engineering services	IT Services and IT Consulting	🇺🇸 Franklin	2,384	1999
4	HealthTrust Performance Group healthtrustpg.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	🇺🇸 Nashville	1,953	1999
5	Highspring highspring.com Global professional services organization offering consulting, managed services, and tailored talent solutions across finance, IT, risk, and transformation.	Professional Services	🇺🇸 Brentwood	1,784	2002
6	Taskforce taskforcebpo.com Taskforce provides consulting and business support services across industries, specializing in custom solutions and efficient operations through a skilled global team	Outsourcing and Offshoring Consulting	🇺🇸 Knoxville	1,716	2015
7	Shearwater Health shearwaterhealth.com Global leader in Clinical Process Outsourcing, providing remote and onsite clinicians, training nurses in various skills, supported by technology and process excellence	Hospitals and Health Care	🇺🇸 Nashville	1,701	n/a
8	Gresham Smith greshamsmith.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	🇺🇸 Nashville	1,428	1967
9	Cunningham Lindsey sedgwick.com Global provider of risk and benefits solutions with a focus on compassionate care, expert guidance, and comprehensive business services for clients worldwide	Insurance	🇺🇸 Memphis	1,399	n/a
10	adamsbridge adamsbridge.com AdamsBridge Global offers sustainable and scalable managed service solutions, allowing clients to focus on core competencies while driving efficiency and value	Information Services	🇺🇸 Nashville	985	2019
11	Sarah Cannon Research Institute scri.com A leading oncology research organization conducting community-based clinical trials, advancing therapies and enhancing trial access across the country	Research Services	🇺🇸 Nashville	975	1993
12	Trinetix trinetix.com Trusted digital product partner empowering leaders with innovative solutions, driving positive change and shaping the future through creativity and exploration Unlock tomorrow's potential with us	IT Services and IT Consulting	🇺🇸 Brentwood	902	2011
13	YA Group yagroup.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	🇺🇸 Nashville	880	1997
14	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	🇺🇸 Nashville	842	1968
15	CereCore cerecore.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	🇺🇸 Nashville	836	2011
16	LBMC lbmc.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	🇺🇸 Brentwood	776	1984
17	FullStack fullstack.com software engineering company providing AI solutions, product engineering, application modernization, and digital transformation services for global enterprises	Technology, Information and Internet	🇺🇸 Brentwood	767	2013
18	Marshall Goldsmith Stakeholder Centered Coaching mgscc.net Offers executive coaching, trains coaches globally, and provides team development to measurably improve leadership effectiveness and accelerate performance for leaders and organizations.	Professional Training and Coaching	🇺🇸	759	n/a
19	Data Marshall datamarshall.com Healthcare revenue analytics organization specializing in provider and payer services, offering audit, billing, coding, denials management, claims adjudication, and more	Hospitals and Health Care	🇺🇸 Franklin	738	2002
20	Bass, Berry & Sims bassberry.com A Tennessee-based law firm offering legal counsel and representation to Fortune 500 companies, public companies, and local businesses in various litigation and business matters	Law Practice	🇺🇸 Nashville	689	1922
21	Barge Design Solutions bargedesign.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	🇺🇸 Nashville	665	1955
22	Arctiq arctiq.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	🇺🇸 Brentwood	647	n/a
23	AtWork Personnel atwork.com An award-winning provider of light-industrial and administrative staffing services offering temporary, temp-to-hire, and direct placements since 1986	Staffing and Recruiting	🇺🇸 Knoxville	578	1992
24	HCTec hctec.com Specializing in healthcare IT workforce optimization, we provide innovative solutions to enhance patient care, reduce costs, and optimize labor forces for hospitals	Hospitals and Health Care	🇺🇸 Brentwood	571	2010
25	Coast 2 Coast coast2coast.net Specializing in architectural documentation, we support architects, engineers, and property owners with 3D models, 2D plans, and 360 photography for commercial renovation and construction projects	Architecture and Planning	🇺🇸 Chattanooga	564	2000
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26	RSI rsienv.com A group of companies providing environmental, nuclear, construction management, and professional services for cleanup initiatives nationwide, focusing on protecting and restoring sites	Environmental Services	🇺🇸 Oak Ridge	512	1996
27	Navarro Research and Engineering navarro-inc.com A federal contractor specializing in overcoming environmental challenges in the nuclear and environmental industries for various government agencies nationwide	Environmental Services	🇺🇸 Oak Ridge	504	1993
28	Petauri petauri.com A pharmaceutical commercialization services organization focused on global market access, medical affairs, patient services, data analytics, and digital solutions	Hospitals and Health Care	🇺🇸 Nashville	496	2023
29	EnSafe ensafe.com EnSafe Inc provides innovative engineering, environmental, health & safety, and technology services globally, offering custom solutions and creative approaches to client needs	Environmental Services	🇺🇸 Memphis	493	1980
30	Brookside Properties, Inc.brooksideproperties.com A property management company based in Nashville, Tennessee, focused on managing commercial and multi-family properties with expertise and efficiency	Real Estate	🇺🇸 Nashville	473	n/a
31	Ovation Healthcare ovationhc.com A healthcare support organization providing shared services to hospitals of all sizes across the United States for 45 years	Hospitals and Health Care	🇺🇸 Brentwood	431	n/a
32	Chirok Health chirokhealth.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	🇺🇸 Nashville	421	2020
33	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	🇺🇸 Clarksville	398	2003
34	Rk Enterprises rkenterprises.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	🇺🇸 Manchester	389	n/a
35	Janus Global Operations LLC acuityinternational.com Leading provider of integrated stability operations support worldwide, offering solutions in munitions response, demining, environmental remediation, intelligence support, logistics, and more	Environmental Services	🇺🇸 Lenoir City	374	1987
36	Luttrell Staffing Group luttrellstaffing.com Award-winning staffing firm providing light-industrial and administrative staffing services through a network of offices across multiple states	Staffing and Recruiting	🇺🇸 Kingsport	367	1993
37	Grace Design Studios grace-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	🇺🇸 Nashville	366	1967
38	PYA pyapc.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	🇺🇸 Knoxville	351	1983
39	Vericlaim sedgwick.com A global provider of risk, benefits, and business solutions with 21,000 colleagues in 65 countries, offering streamlined services for clients and consumers	Insurance	🇺🇸 Memphis	343	n/a
40	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	🇺🇸 Franklin	342	1982
41	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	🇺🇸 Brentwood	338	1989
42	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	🇺🇸 Memphis	328	1985
43	Provisions Group provisionsgroup.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	🇺🇸 Franklin	325	2003
44	I.C. Thomasson Associates, Inc., a Salas O'Brien Company icthomasson.com A multidisciplinary engineering firm providing mechanical, electrical, controls, plumbing, fire protection, IT, energy efficiency, and environmental services for various industries worldwide	Design Services	🇺🇸 Nashville	312	1942
45	Edgewater Technical Associates, LLC edgewatertech.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	🇺🇸 Oak Ridge	308	2003
46	Prescient Security prescientsecurity.com Provides cybersecurity services including compliance penetration testing, audit, and attestation across multiple frameworks for global customers.	Computer and Network Security	🇺🇸 Nashville	289	2018
47	Miller & Martin PLLC millermartin.com A well-established law firm in the Southeast with over 150 years of experience, helping businesses and individuals achieve their goals through advanced legal expertise	Law Practice	🇺🇸 Chattanooga	278	1867
48	MedCepts Medical Sales & Marketing Network - Medical Devices / Pharmaceuticals medcepts.com A network connecting independent consultants, contractors, sales reps, and healthcare providers in the medical industry Specializing in sourcing, outsourcing, and strategic cost optimization	Medical Equipment Manufacturing	🇺🇸 Nashville	278	1999
49	Revive reviveagency.com Healthcare branding agency that helps clients reimagine their businesses and transform their impact on health in the US through effective marketing solutions	Advertising Services	🇺🇸 Nashville	269	n/a
50	ESa esarch.com A design firm offering architecture, interior architecture, and planning services globally in healthcare, hospitality, education, corporate office, senior living, and community projects	Architecture and Planning	🇺🇸 Nashville	262	1961

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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 11, 2026.

Professional services firms headquartered in Tennessee

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