Hormone replacement therapy (HRT) in Tennessee is supervised by physicians licensed under TCA Title 63, Chapter 6 by the Tennessee Board of Medical Examiners. FDA-approved testosterone products such as AndroGel transdermal gel and Testopel subcutaneous pellets carry the strictest manufacturing oversight, while compounded bioidentical preparations are dispensed by 503A pharmacies operating under the Tennessee Board of Pharmacy. The American Association of Clinical Endocrinology (AACE) and the Endocrine Society publish clinical practice guidelines for testosterone therapy in adult men and menopausal hormone therapy in women, including baseline laboratory panels and a typical 3-month and 6-month monitoring cadence. Board certification frameworks include ABOG (Obstetrics and Gynecology) for menopause-focused practices and ABIM (Internal Medicine, Endocrinology, Diabetes and Metabolism subspecialty) for endocrinology-led HRT. The three practices below each list a physician with verifiable ABMS certification and a Davidson or Williamson County clinic address.
Quick Comparison #
| Clinic | Lead Physician | Primary Approach |
|---|---|---|
| Nashville Hormone and Integrative Medicine Center | John Monaco MD | OB-GYN background with A4M anti-aging fellowship |
| Cool Springs MD | Jeffrey Lodge MD | ABOG-certified BHRT delivered via subcutaneous pellet therapy |
| Nashville Gynecology Center | Larry D. Gurley MD, FACOG | Multi-route BHRT inside a full gynecology practice |
1. Nashville Hormone and Integrative Medicine Center #
Nashville Hormone and Integrative Medicine Center is led by John “Jack” Monaco MD, who completed his MD at Bowman Gray School of Medicine in 1974, holds board certification in Obstetrics and Gynecology, and completed a fellowship through the American Academy of Anti-Aging and Regenerative Medicine (A4M). The practice frames hormone work inside an integrative medicine model that pairs hormone optimization with metabolic and lifestyle protocols.
Treatment Scope #
The clinic offers bioidentical hormone therapy for menopause and andropause, testosterone deficiency management, thyroid evaluation, adrenal support, peptide therapy, intravenous nutrient therapy, and medically supervised weight loss. Patient protocols include baseline laboratory panels with follow-up testing at intervals consistent with Endocrine Society guidance.
Practice Setting #
The Franklin office on Mallory Lane sits inside the Cool Springs medical corridor. Dr. Monaco’s prior OB-GYN training informs the female menopause protocols, and the practice publishes nutrition and stress-management counseling as part of the integrative medicine framework.
Nashville Hormone and Integrative Medicine Center
1909 Mallory Lane, Suite 108
Franklin, TN 37067
(615) 964-5871
https://www.nashvillehormone.com/
2. Cool Springs MD #
Cool Springs MD is led by Jeffrey Lodge MD, who earned his medical degree at Wake Forest University School of Medicine, completed OB-GYN residency at the Medical University of South Carolina, and holds American Board of Obstetrics and Gynecology certification. The Brentwood practice focuses on subcutaneous pellet-based BHRT and serves the Nashville, Franklin, and Williamson County area.
Treatment Scope #
Services include bioidentical hormone replacement therapy delivered through dissolvable subcutaneous pellets placed in office, testosterone replacement therapy for men, estrogen replacement therapy for perimenopausal and postmenopausal women, female sexual health evaluation, and medically supervised weight management. Aesthetic services such as laser treatment, microneedling, and injectables are offered through the same physician group.
Method Detail #
The pellet protocol releases hormone over a multi-month interval, with reinsertion timing individualized by laboratory follow-up. Patient lab work tracks total and free testosterone, estradiol, sex hormone binding globulin, and metabolic panels at baseline, 3 months, and 6 months consistent with AACE clinical practice guidance.
Cool Springs MD
1642 Westgate Circle
Brentwood, TN 37027
(615) 283-7291
https://www.coolspringsmd.com/
3. Nashville Gynecology Center #
Nashville Gynecology Center is led by Larry D. Gurley MD, FACOG, board certified by the American Board of Obstetrics and Gynecology and a Fellow of the American College of Obstetricians and Gynecologists. The 20th Avenue North office combines bioidentical hormone therapy with a full gynecology practice, allowing menopausal hormone management to coexist with bladder, fibroid, and pelvic care under one physician.
Treatment Scope #
Bioidentical hormone replacement therapy is delivered through multiple routes including oral tablets, transdermal patches, topical creams, gels, intramuscular injections, and implantable pellets. The clinic also performs in-office gynecologic ultrasound, endometrial ablation, vaginal rejuvenation, and management of fibroids and abnormal uterine bleeding. Telehealth appointments are available for hormone follow-ups.
Practice Setting #
The downtown Nashville office near Centennial Park supports patients who need both routine gynecologic care and structured menopausal hormone protocols. Dr. Gurley’s FACOG status indicates active participation in ACOG continuing professional development, including ACOG guidance on menopausal hormone therapy.
Nashville Gynecology Center
300 20th Avenue North, Suite 102
Nashville, TN 37203
(615) 284-1500
https://www.nashvillegynecologycenter.com
Selection Methodology #
Each clinic was reviewed against four criteria. First, the supervising physician must hold current ABMS member-board certification (ABOG or ABIM), verifiable through the ABMS Certification Matters lookup. Second, the physician must hold an active Tennessee medical license under TCA Title 63, Chapter 6, verifiable through the Tennessee Department of Health license lookup. Third, the clinic must operate from a publicly listed Davidson or Williamson County address with a working direct phone line. Fourth, treatment protocols must reference recognized clinical guidance, such as Endocrine Society, AACE, or ACOG statements on hormone therapy.
Frequently Asked Questions #
What is the difference between FDA-approved and compounded bioidentical hormones?
FDA-approved testosterone products such as AndroGel and Testopel are manufactured under FDA new drug application standards. Compounded bioidentical preparations are mixed by a 503A pharmacy under state pharmacy board oversight and are not FDA-approved as finished products. Both can be prescribed by a Tennessee-licensed physician.
How often should laboratory monitoring occur during HRT?
Endocrine Society and AACE guidance typically recommend baseline labs before therapy, a 3-month follow-up panel after initiating or changing dose, and a 6-month panel for stable patients. Panels track sex hormones, complete blood count, lipid panel, and prostate-specific antigen in men over 40.
Which board certifications matter for an HRT physician?
ABOG certification supports menopause-focused care, ABIM with an Endocrinology subspecialty supports complex endocrine disease, and ABFM (Family Medicine) supports general adult HRT. ABMS member-board status can be confirmed at Certification Matters.
Is testosterone pellet therapy regulated differently from injectable testosterone?
Testopel is the FDA-approved testosterone pellet brand and is subject to standard prescription controls. Compounded testosterone pellets are dispensed by 503A pharmacies under Tennessee Board of Pharmacy rules. Both routes require a valid prescription from a Tennessee-licensed physician.
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.