Tennessee Direct Executive Health is Knoxville's premier executive health program — a self-pay concierge practice designed for busy professionals, executives, and business owners who demand efficient, proactive, and genuinely personalized healthcare. Unlike traditional primary care constrained by insurance panels and rushed appointments, Tennessee Direct offers a longevity-focused model built around preventing disease, detecting it early, and keeping patients performing at their peak. Led by a physician with dual board certifications in Internal Medicine and Rheumatology, six ISSA sports science certifications, and a decade of clinical experience, the practice delivers a depth of diagnostic and wellness expertise rarely found under one roof — combining the rigor of advanced internal medicine with precision fitness programming and nutrition science.

About the Physician

The physician at Tennessee Direct Executive Health — known to patients as Dr. Smith — holds a uniquely integrated clinical and sports science background. Board certified by the American Board of Internal Medicine (ABIM) in both Internal Medicine and Rheumatology, Dr. Smith is a Fellow of the American College of Rheumatology and a past president of the Tennessee Rheumatology Society, with over a decade of experience managing complex inflammatory, metabolic, and musculoskeletal disease. Alongside his medical credentials, Dr. Smith holds six ISSA certifications covering personal training, strength and power, nutrition, running coaching, and exercise recovery — giving him the rare ability to design comprehensive fitness and nutrition protocols grounded in evidence-based sports science. The result is a physician who speaks both the language of advanced clinical medicine and the science of optimal human performance.

Services Offered

• Comprehensive Executive Physical — Thorough history-taking and physical examination combined with advanced laboratory work, cardiovascular risk assessment, and a full baseline picture of each patient's health status and disease risk factors, all completed in a single, efficient visit.
• Advanced Cardiovascular Screening — CT coronary calcium scoring, carotid ultrasound with intima-media thickness (CIMT), LDL and HDL particle sizing, cardiac C-reactive protein, lipoprotein(a), and genetic markers including Chr9p21 and Chr4q25 — identifying vascular disease decades before symptoms emerge.
• Multi-Cancer Blood Testing — Annual GRAIL blood-based screening for over 50 types of cancer, alongside established cancer screening protocols and routine imaging coordinated in a single, streamlined visit.
• Longevity Laboratory Panel — Comprehensive blood work covering metabolic, hormonal, inflammatory, immune, and genetic markers — including ApoE for dementia risk, MTHFR, fatty acid balance (omega-6:omega-3 ratio), full thyroid panel, testosterone, IGF-1, and essential vitamins — performed quarterly or annually based on plan.
• Body Composition & Metabolic Testing — Monthly body composition analysis, Resting Metabolic Rate (RMR) testing, and bi-annual Continuous Glucose Monitor (CGM) interpretation providing precise, ongoing insight into metabolic health and program effectiveness.
• VO2 Max & Cardiorespiratory Programming — VO2 max assessment combined with ISSA-certified cardiorespiratory fitness programming personalized to each patient's baseline, fitness level, and longevity targets.
• Strength & Exercise Programming — ISSA-certified strength, power, and plyometric programming designed to complement each patient's clinical data, body composition goals, and long-term musculoskeletal health and function.
• Direct Physician Access — Unlimited communication with Dr. Smith via office visits, phone, telehealth, email, and text — with same-day service prioritized and care coordination available with hospital teams during any inpatient admission.

What to Expect

Tennessee Direct Executive Health is located at 9313 S Northshore Drive, Knoxville, TN 37922. Office hours are Monday through Thursday, 8:00 AM to 4:00 PM, and Friday, 8:00 AM to 12:00 PM. Reach Dr. Smith directly at (865) 432-6868 or drsmith@tnexecutivehealth.com. The practice is a self-pay program; the Elite Health Package is $2,700 annually and the Executive Package is $4,800 annually. Both plans include direct physician access and comprehensive longevity-focused care.