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.

Heather Taillac, M.D.
Dr Taillac explained my hip fracture and showed me the X-rays so I understood what she was saying. She said it was stable for me to walk and it was time for exercises to strengthen my body to stay healthy. I went to the hospital emergency room when I fell. I was surprised that Dr Taillac did not talk to me about my hip then. No one could give me a direct answer about my hip except her.
Derek Worley, M.D.
Dr. Worley was very pleasant and very thorough. I would definitely see him again.
Kelly Billings, PA
Kelly was very nice. Explained everything. Was a good visit. Megan the nurse was awesome 💚🌻
Gregory Roberts, M.D.
Fast and courteous - and KIND always .
Tammie Dyer, PTA
Very nice lady, very good at her job. Makes you feel comfortable while doing her job
Alyssa Ragland, FNP
Great Nurse Practitioner. Always answers all my questions and listens to my problems. Very helpful in getting the help I need.
Derek Worley, M.D.
Felt rushed
Heather Taillac, M.D.
Dr Taillac is awesome!!
Walter Jermakowicz, M.D.
I arrived with hopes and left with relief. Dr Jermakowicz gave me positive feedback on what my condition needed.
Walter Jermakowicz, M.D.
He is very caring