The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.
The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.
The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.

Taylor Dennison, M.D.
Very understandable. Helped me greatly. Very knowledgeable.
Derek Worley, M.D.
Very nice and educated in his field. Gave me time to talk and explained my condition. Will return if need be . 👍
Derek Worley, M.D.
I liked him and I feel he is very knowledgeable
Walter Jermakowicz, M.D.
Very knowledgable, conservative in approach, answered all my questions
Michael Pahl, M.D.
Very straightforward and knowledgeable without the fluff!
Brian Huff, D.O.
Professional and explained things well.
Gregory Roberts, M.D.
Explanation of the pros and cons was very informative.
Walter Jermakowicz, M.D.
He really helped me
Adrian Vinas, M.D.
Dr. Vinas is the BEST. He is kind and informative about health issues. His nurse today…worked really hard and quickly in getting my 2 Cookeville appointments on the same day…Dec. 9. I’m a busy 75 year old (with grandkids, etc) and she new my needs! I love this Crossville Office Staff!
Heather Taillac, M.D.
Thoroughly explains. Answers all questions. Takes time with patient.