RANKING · 2024 ACS · 117 SHOWN OF 117

Highest fertility rate, Tennessee cities

Tennessee cities ranked by general fertility rate, meaning births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 117 cities in Tennessee that qualify, ranked against each other statewide. The median across all 117 is 51.2.

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SAME RANKING BYCounties States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2010

01Fairfield Glade, TNTN9,487243.8+353%

02Dayton, TNTN7,819134.9+96%

03Fayetteville, TNTN7,068115.3+87%

04Pleasant View, TNTN5,797106.3+298%

05Oakland, TNTN10,835105.4−17%

06Lafayette, TNTN6,020102.9+11%

07Harriman, TNTN6,192101.1+91%

08Alcoa, TNTN13,68995.7+240%

09Tullahoma, TNTN21,27991.7+39%

10Crossville, TNTN13,11391.7+63%

11La Vergne, TNTN42,14691.0+26%

12Springfield, TNTN20,09090.9−3%

13Fairview, TNTN10,87786.6−19%

14Hartsville/Trousdale County, TNTN12,62384.0+26%

15Athens, TNTN15,26382.0+97%

16Pigeon Forge, TNTN6,59881.8+1019%

17McKenzie, TNTN5,63281.6+165%

18Shelbyville, TNTN26,14681.3+7%

19Elizabethton, TNTN14,35080.5+186%

20Soddy-Daisy, TNTN13,47479.5+114%

21Kingston, TNTN6,29979.1−11%

22Spring Hill, TNTN61,33679.1−8%

23Ripley, TNTN7,49978.4+73%

24Henderson, TNTN6,59078.2+5%

25Goodlettsville, TNTN17,50676.5+61%

26Smyrna, TNTN63,32176.2+38%

27Portland, TNTN13,65873.5+8%

28Cleveland, TNTN51,17273.4−16%

29Eagleton, TNTN5,59872.2+51%

30Greenbrier, TNTN7,17069.2+42%

31White House, TNTN17,87268.9+49%

32Gallatin, TNTN54,59067.4+19%

33Powell, TNTN13,73966.0–

34Green Hill, TNTN6,86665.0+83%

35Red Bank, TNTN12,40565.0−27%

36Lewisburg, TNTN13,51763.8−45%

37Morristown, TNTN33,51763.4−23%

38Kingsport, TNTN57,53061.6+20%

39Lexington, TNTN8,13060.6+6%

40Clarksville, TNTN188,82958.9−26%

41La Follette, TNTN7,17658.4−39%

42Greeneville, TNTN16,14158.4+11%

43Loudon, TNTN6,96357.8+50%

44Harrison, TNTN8,01157.7+18%

45Pulaski, TNTN8,39457.5−31%

46Chattanooga, TNTN194,14456.9−8%

47Cookeville, TNTN38,21255.0+26%

48Oak Ridge, TNTN35,39554.2−18%

49Nashville, TNTN721,07453.9−6%

50Savannah, TNTN7,68953.5−2%

51Dickson, TNTN17,05153.3−33%

52Germantown, TNTN40,00152.7−9%

53Memphis, TNTN609,64752.3−50%

54Murfreesboro, TNTN171,17852.2+19%

55Signal Mountain, TNTN8,82451.6−40%

56McMinnville, TNTN13,94351.4−27%

57Nolensville, TNTN15,78951.3+14%

58Clinton, TNTN10,46651.2−20%

59Covington, TNTN8,58551.2−41%

60Bartlett, TNTN56,41650.8+37%

61Church Hill, TNTN7,29750.7−18%

62Dunlap, TNTN6,08950.1−76%

63Bristol, TNTN28,10748.7+33%

64Atoka, TNTN10,64548.4−19%

65Lawrenceburg, TNTN12,23647.7−15%

66Jackson, TNTN69,33947.5−30%

67Lebanon, TNTN53,41247.2+19%

68Halls, TNTN10,27246.9–

69Franklin, TNTN90,22645.9−17%

70Mount Juliet, TNTN45,17244.6−42%

71Middle Valley, TNTN12,18743.5−34%

72Arlington, TNTN15,70343.4−37%

73Humboldt, TNTN7,84143.0+24%

74Sevierville, TNTN19,01041.9−59%

75Columbia, TNTN50,07241.5−49%

76Farragut, TNTN25,12140.5+3%

77Brownsville, TNTN9,30140.3−25%

78Union City, TNTN10,81440.1+23%

79Bolivar, TNTN5,04339.6−51%

80Lynchburg, TNTN6,92038.7+30%

81Martin, TNTN11,06038.0+133%

82Thompson's Station, TNTN9,46935.7+19%

83Millersville, TNTN6,43835.7−36%

84Knoxville, TNTN202,02134.5−33%

85Hendersonville, TNTN64,26634.3−35%

86Newport, TNTN7,04933.2−69%

87Paris, TNTN10,46832.4−40%

88Maryville, TNTN32,44231.8+30%

89Dyersburg, TNTN15,90631.4−81%

90Madisonville, TNTN5,42830.1−40%

91Seymour, TNTN16,21629.8−41%

92Ashland City, TNTN5,65029.8−69%

93Lenoir City, TNTN12,53029.4−68%

94Manchester, TNTN13,77627.2−76%

95Collierville, TNTN51,90926.6−52%

96Winchester, TNTN10,43826.2−23%

97Bloomingdale, TNTN9,29226.0−22%

98Lakeland, TNTN14,42225.3−67%

99Johnson City, TNTN74,94324.1−49%

100Jonesborough, TNTN6,99023.6+24%

101South Cleveland, TNTN7,45223.3−83%

102Smithville, TNTN5,62021.2−84%

103Collegedale, TNTN11,49919.2−28%

104East Ridge, TNTN21,92118.4−68%

105Sparta, TNTN5,03818.4−77%

106Jefferson City, TNTN9,10317.6−39%

107Brentwood, TNTN45,31317.0−69%

108Rockwood, TNTN5,60713.8−40%

109Millington, TNTN12,95313.2−78%

110Erwin, TNTN6,01912.1−75%

111Milan, TNTN8,36711.0−86%

112Sweetwater, TNTN6,70610.6−87%

113Munford, TNTN6,9968.5−82%

114Mount Carmel, TNTN5,5408.4−90%

115Mount Pleasant, TNTN5,1036.7−81%

116Medina, TNTN5,8130.0−100%

117Tellico, TNTN7,4140.0−100%

SHOWING 1–117 OF 117

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES