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ConciergeInternal Medicine

Tennessee Direct Executive Health

Quick Facts

Membership Price RangeElite Health Package: $2,700/yr ($300 annual enrollment + $200/month) | Executive Package: $4,800/yr
Practice TypeConcierge
LocationKnoxville
DoctorsBrett Smith D.O., Rheumatology
Telehealth TypeTelehealth (in-person and telehealth options available)
Telehealth AvailableYes

About

At Tennessee Direct Executive Health, Dr. Brett Smith delivers executive health and longevity care to adults in Knoxville, Tennessee. His program targets busy professionals, executives, and business owners who want proactive, comprehensive healthcare. The practice accepts only a limited number of patients each year.

Dr. Smith brings dual board certification in Internal Medicine and Rheumatology alongside extensive fitness credentials. His clinical focus spans cardiovascular disease screening, cancer detection, neurodegenerative disease risk, hormones, metabolism, nutrition, and cardiorespiratory fitness. Advanced diagnostics include VO2 max testing, CT coronary calcium scoring, carotid ultrasounds with CIMT, resting metabolic rate testing, and the GRAIL multi-cancer blood test. Patients reach Dr. Smith by office visit, phone, email, text, or telehealth.

Details

Address

9313 S Northshore Drive, Knoxville, TN 37922

Membership

$200/monthly ($2,700/annual)

Membership Details

Self-pay only, not covered by insurance. Elite Health Package: $300 annual enrollment + $200/month ($2,700 total). Executive Package: $4,800 total. All fees due at time of service and non-refundable. No payment plans accepted.

Telemedicine Same-Day Appointments

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Frequently Asked Questions

Tennessee Direct Executive Health offers two membership tiers. The Elite Health Package totals $2,700 per year, structured as a $300 enrollment fee plus $200 per month. The Executive Package totals $4,800 per year. All fees are due at the time of service and are non-refundable. The practice does not accept payment plans.

No. Tennessee Direct Executive Health operates as an entirely self-pay practice. Insurance does not cover the membership fees. Patients pay directly for their membership tier at the time of service.

com or through the contact form on the practice website. The practice also offers a free consultation for those interested in learning more before joining. The practice accepts only a limited number of patients each year.

Yes. Same-day service is a core part of the Tennessee Direct Executive Health model. Dr. Smith keeps his patient panel deliberately small to make prompt access possible. Patients can also connect with Dr. Smith by phone, text, email, or telehealth.

Yes. Dr. Smith conducts telehealth visits in addition to in-person appointments. Patients can also reach him by phone, email, and text for ongoing communication between visits.

The Executive Package includes several additional services. Members receive the GRAIL blood test screening for more than 50 cancer types, CT coronary calcium scoring every three years, carotid ultrasounds with CIMT annually, bone density testing every two years, continuous glucose monitors every six months, ECGs every six months, and direct communication with inpatient hospital teams during a hospitalization.

Tennessee Direct Executive Health serves adult patients. The program targets executives, professionals, and business owners, though any adult seeking comprehensive, proactive healthcare can inquire about membership.

The practice offers an extensive diagnostic menu. Testing includes comprehensive longevity blood work with genetic markers, VO2 max testing, resting metabolic rate testing, body composition analysis, CT coronary calcium scoring, carotid ultrasounds with CIMT, bone density testing, continuous glucose monitoring, ECGs, routine imaging such as x-ray, CT, and ultrasound, hearing tests, and the GRAIL multi-cancer blood test.

Yes. Dr. Smith builds science-backed custom nutrition plans for each patient. Those plans target heart health, cancer risk reduction, lean mass retention, and body fat reduction. He also designs personalized exercise programs covering strength, power, and cardiorespiratory fitness, drawing on his ISSA certifications in nutrition and coaching.

The practice is located at 9313 S Northshore Drive, Knoxville, TN 37922.

Practice last updated August 19, 2026