Allergic disease in Middle Tennessee is shaped by a long ragweed season, year-round mold burden from the humid Cumberland River basin, and high tree-pollen counts each spring. Patients searching for relief need a board-certified allergist who can move from skin prick panels and ImmunoCAP IgE testing to allergen immunotherapy, biologics for severe asthma, and food allergy oral immunotherapy when the diagnosis warrants it. The three Nashville-area practices below each carry American Board of Allergy and Immunology (ABAI) Diplomate credentials across their physician roster and maintain American College of Allergy, Asthma and Immunology (ACAAI) and American Academy of Allergy, Asthma and Immunology (AAAAI) affiliations that anchor their clinical protocols to current Practice Parameters.
Quick Comparison #
| Firm | Credentials | Focus |
|---|---|---|
| The Allergy, Asthma and Sinus Center | American Board of Allergy and Immunology Diplomate physicians across the network; ACAAI and AAAAI affiliations; multi-state group operating since 1970 | Skin prick and ImmunoCAP testing, subcutaneous immunotherapy, asthma management with GINA stepwise therapy and biologics, penicillin delabeling skin testing |
| Allergy and Asthma Center, P.C. | Six ABAI Diplomate physicians; ACAAI Fellow (FACAAI) designation across the roster; AAAAI Fellows; Vanderbilt residency and fellowship lineage | Food allergy oral immunotherapy aligned with Palforzia protocol, pediatric asthma, venom immunotherapy, atopic dermatitis management with dupilumab consideration |
| Allergy and ENT Associates of Middle Tennessee | ABO-HNS Diplomate physicians; American Academy of Otolaryngic Allergy Fellows; combined otolaryngology-allergy practice founded in 1973 | Sublingual and subcutaneous immunotherapy, balloon sinuplasty, surgical sinus care, pediatric ENT coordination, audiology and tympanometry for allergy-driven ear disease |
1. The Allergy, Asthma and Sinus Center #
Half-Century Network Anchored in Midtown Nashville #
The Allergy, Asthma and Sinus Center opened on July 1, 1970 under founder Dr. Robert M. Overholt in Knoxville, Tennessee, and the group has since grown into a multi-state allergy network covering Tennessee, Kentucky, Georgia, and Louisiana. Its Midtown Nashville clinic sits at 310 25th Avenue N, Suite 101, Nashville, TN 37203, with a roster of board-certified allergists who rotate through additional Middle Tennessee offices in Mt. Juliet, Hermitage, Franklin, Spring Hill, Hendersonville, Cookeville, and Clarksville. The practice fields twenty-four ABAI Diplomate allergists across its network, and each Nashville-facing provider holds active ACAAI and AAAAI affiliations that tie daily decisions to national Practice Parameters.
Diagnostic and Immunotherapy Services Across the Age Spectrum #
The group treats infant, pediatric, adolescent, and adult patients for inhalant allergy, asthma, chronic rhinosinusitis, atopic dermatitis, chronic urticaria, food allergy, and drug hypersensitivity. Diagnostic workflows begin with percutaneous skin prick testing, intradermal confirmation when prick results are equivocal, and ImmunoCAP specific IgE blood testing for patients on antihistamines or with extensive eczema. Subcutaneous allergen immunotherapy (SCIT) protocols are mixed in-house, and the clinic maintains structured shot-room hours, with extended Tuesday afternoon availability for working patients. Asthma evaluation integrates spirometry, fractional exhaled nitric oxide (FeNO) testing, and Global Initiative for Asthma (GINA) stepwise therapy mapping, escalating to biologics such as omalizumab (Xolair), mepolizumab (Nucala), benralizumab (Fasenra), and dupilumab (Dupixent) for severe Type 2 or eosinophilic phenotypes.
Drug Allergy Delabeling and Penicillin Skin Testing #
The practice runs a structured drug allergy program, with penicillin skin testing followed by graded oral challenge that mirrors the ACAAI/AAAAI Joint Task Force penicillin delabeling protocol. Removing an unverified penicillin label opens the door to first-line beta-lactam therapy, reduces broad-spectrum antibiotic exposure, and lowers Clostridioides difficile risk, which is why the AAAAI Practice Parameter on Drug Allergy lists delabeling as a population-health priority.
Contact: (615) 574-6045 | 310 25th Avenue N, Suite 101, Nashville, TN 37203
2. Allergy and Asthma Center, P.C. #
Vanderbilt-Trained Group Spanning Brentwood, Nashville, and Murfreesboro #
Allergy and Asthma Center, P.C. was established in 1994 by Dr. Les Newman and now operates offices across Murfreesboro, Smyrna, Brentwood, Gallatin, and the broader Nashville corridor. Six MDs staff the group, and every physician on the roster holds ABAI Diplomate status. Dr. Newman (LSU School of Medicine, 1988), Dr. Csaba Rusznak (Vanderbilt residency and fellowship, dual PhDs from London), Dr. Martha Butterfield (Vanderbilt MD 1987, Vanderbilt fellowship 1995), Dr. E. Kathryn Miller (Texas A&M, Vanderbilt pediatric residency and fellowship with MPH), Dr. Russell Walker (University of Tennessee, Wilford Hall fellowship), and Dr. Kenneth S. Babe, Jr. (Vanderbilt School of Medicine, Vanderbilt fellowship) all carry ACAAI Fellow designation (FACAAI), and five of the six are also AAAAI Fellows. Dr. Butterfield separately founded Brentwood Allergy and Asthma, PC in 1999 before merging into the practice in January 2014, which gives the Brentwood office continuous allergy coverage in southern Davidson County stretching back to the mid-1990s.
Food Allergy Oral Immunotherapy and Pediatric Asthma #
The clinic treats food allergy on the structured oral immunotherapy (OIT) ladder, with peanut allergy desensitization aligned to the Palforzia (PALFORZIA, AR101) labeled protocol that received FDA approval in 2020 for ages 4 to 17. Build-up dosing is performed in the office under monitored conditions, with epinephrine auto-injector training, written Anaphylaxis Action Plans, and Component-Resolved Diagnostics for Ara h 2 sensitization when the initial peanut-extract skin test is ambiguous. Pediatric asthma cases are paired with Asthma Action Plans built to GINA step recommendations, and the group draws on Dr. Miller’s combined pediatric and MPH training to coordinate inhaler technique education and trigger-reduction counseling.
Insect Sting Venom Immunotherapy and Atopic Dermatitis #
Patients with documented systemic reactions to bee, wasp, hornet, or yellow jacket stings move through venom skin testing and venom-specific IgE confirmation, then onto venom immunotherapy build-up that follows the AAAAI Practice Parameter on Stinging Insect Hypersensitivity. The clinic also writes Eczema Action Plans for moderate-to-severe atopic dermatitis, layering topical corticosteroid potency mapping, calcineurin inhibitor sparing, and dupilumab consideration for refractory disease per the 2023 Joint Task Force atopic dermatitis guideline.
Contact: (615) 895-6500 | Brentwood, Murfreesboro, Smyrna, and Gallatin offices serving the Nashville metro
https://www.allergyandasthmacenter.com/
3. Allergy and ENT Associates of Middle Tennessee #
Combined Otolaryngology and Allergy Care Since 1973 #
Allergy and ENT Associates of Middle Tennessee was founded in 1973 by Dr. C.K. Hiranya Gowda and originally opened in Donelson, TN, relocating to the Summit Medical Center campus in Hermitage in 1996. A second office opened on South Hartmann Drive in Lebanon in August 2019, and a third location opened inside Ascension Saint Thomas Hospital West in November 2024, extending the group into West Nashville. Eight physicians staff the practice, and the combined ENT-plus-allergy model lets a patient with chronic rhinosinusitis, nasal polyposis, or eustachian tube dysfunction receive skin prick testing, immunotherapy build-up, balloon sinuplasty evaluation, and surgical sinus care under one roof.
Sublingual Immunotherapy and Inhalant Allergy Pathways #
For patients who cannot commit to weekly subcutaneous injections, the clinic offers sublingual immunotherapy (SLIT) tablets for grass pollen, ragweed, and house dust mite indications that hold FDA approval, dosed at home after the first administration is supervised in office. The choice between SCIT and SLIT is mapped against the 2017 Joint Task Force Practice Parameter, which lists SCIT as the broader option for polysensitized patients with multiple allergen targets and SLIT tablets as the more convenient option for narrowly indicated single-allergen disease. Inhalant allergy workups are paired with rhinoscopy, CT sinus imaging when sinus disease is suspected, and acoustic rhinometry for nasal airflow assessment.
Hearing, Balance, and Pediatric ENT Coordination #
Because the group is otolaryngology-led, patients with allergic rhinitis who develop secondary eustachian tube dysfunction, conductive hearing changes, or pediatric otitis media with effusion receive coordinated audiology, tympanometry, and surgical consultation. Pediatric tonsillectomy, adenoidectomy, and pressure-equalization tube placement are performed in concert with the allergy plan, which is the configuration the American Academy of Otolaryngic Allergy has long recommended for children whose recurrent ear infections are driven by upper-airway atopy.
Contact: (615) 873-0152 | 3901 Central Pike, Suite 351, Hermitage, TN 37076 | Additional offices in Lebanon and at Ascension Saint Thomas Hospital West
How to Choose an Allergist in Nashville #
Verify ABAI Diplomate status on the American Board of Allergy and Immunology public verification tool before booking. Ask whether the clinic offers both SCIT and SLIT, whether OIT is available for food allergy if you have a peanut-allergic child, and whether biologic infusion or injection is administered on-site rather than referred out. For severe asthma, confirm that the practice runs FeNO testing and follows GINA step recommendations. For drug allergy, confirm the clinic performs penicillin skin testing with oral challenge per the ACAAI and AAAAI Joint Task Force delabeling protocol, since walking out of an appointment without a documented penicillin label can change every future antibiotic prescription you receive.
Reference Notes #
- American Board of Allergy and Immunology (ABAI) Diplomate certification and Maintenance of Certification (MOC) requirements
- American College of Allergy, Asthma and Immunology (ACAAI) Fellow designation and Position Statements
- American Academy of Allergy, Asthma and Immunology (AAAAI) membership and Joint Task Force Practice Parameters
- Global Initiative for Asthma (GINA) stepwise therapy guidelines
- Biologic therapy indications for severe eosinophilic and Type 2 asthma (omalizumab, mepolizumab, benralizumab, dupilumab)
- Subcutaneous vs sublingual allergen immunotherapy evidence base (2017 Joint Task Force Practice Parameter)
- Oral immunotherapy for peanut allergy (Palforzia FDA approval, 2020)
- Penicillin allergy delabeling skin testing and oral challenge protocol
- Atopic dermatitis Eczema Action Plan (2023 Joint Task Force guideline)
Selection Methodology #
The three practices above were filtered out of the wider Nashville allergy and immunology field using these gates: minimum tenure on Nashville-area patient care, verifiable American Board of Allergy and Immunology Diplomate (or ABO-HNS Diplomate with AAOA Fellow status for the combined-specialty practice) on the physician roster, identifiable practice brand and working street address on the practice’s own website, and a published service scope that maps to patient need without scope-of-practice overreach. National rollups, mid-level-only practices without published physician supervision, and offices without verifiable street addresses were excluded.
Frequently Asked Questions #
Q: Does the practice offer telehealth visits or only in-person care?
A: Many Nashville clinics now offer secure telehealth video visits for follow-up, medication management, and certain triage scenarios, while procedural and physical-exam visits remain in person. Ask whether your concern qualifies for telehealth, whether your insurance covers it at the same rate, and what platform the practice uses.
Q: How does the practice coordinate referrals to specialists?
A: Ask whether the practice has an internal referral coordinator who handles authorization, sends records, and books the specialist appointment, or whether the patient is expected to manage the chain. For HMO and similar plans, a documented referral on file is often required before the specialist visit will be covered.
Q: Are any of the three practices paid placements?
A: No. The three profiles above are editorial selections drawn from publicly verifiable sources. No firm sponsored placement.
Q: How does the practice transmit prescriptions and handle refills?
A: Most Nashville clinics send prescriptions electronically to your chosen pharmacy. For refills, ask whether the patient portal accepts a refill request, the standard turnaround time for refill approval, and whether any medication on your list requires an office visit or labs before the next refill can be authorized.
Editorial Note #
This guide was published on 2026-05-11 and reflects research current as of that date. Verify licenses, phone numbers, and current business status before engaging any firm.