RANKING · 2024 ACS · 117 SHOWN OF 117

Highest fertility rate, Tennessee cities

Tennessee cities ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). This list covers the 117 cities in Tennessee that qualify, ranked against each other statewide.

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SAME RANKING BYCounties States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000

01Fairfield Glade, TNTN9,487243.8–

02Dayton, TNTN7,819134.9–

03Fayetteville, TNTN7,068115.3–

04Pleasant View, TNTN5,797106.3–

05Oakland, TNTN10,835105.4–

06Lafayette, TNTN6,020102.9–

07Harriman, TNTN6,192101.1–

08Alcoa, TNTN13,68995.7–

09Tullahoma, TNTN21,27991.7–

10Crossville, TNTN13,11391.7–

11La Vergne, TNTN42,14691.0–

12Springfield, TNTN20,09090.9–

13Fairview, TNTN10,87786.6–

14Hartsville/Trousdale County, TNTN12,62384.0–

15Athens, TNTN15,26382.0–

16Pigeon Forge, TNTN6,59881.8–

17McKenzie, TNTN5,63281.6–

18Shelbyville, TNTN26,14681.3–

19Elizabethton, TNTN14,35080.5–

20Soddy-Daisy, TNTN13,47479.5–

21Kingston, TNTN6,29979.1–

22Spring Hill, TNTN61,33679.1–

23Ripley, TNTN7,49978.4–

24Henderson, TNTN6,59078.2–

25Goodlettsville, TNTN17,50676.5–

26Smyrna, TNTN63,32176.2–

27Portland, TNTN13,65873.5–

28Cleveland, TNTN51,17273.4–

29Eagleton, TNTN5,59872.2–

30Greenbrier, TNTN7,17069.2–

31White House, TNTN17,87268.9–

32Gallatin, TNTN54,59067.4–

33Powell, TNTN13,73966.0–

34Green Hill, TNTN6,86665.0–

35Red Bank, TNTN12,40565.0–

36Lewisburg, TNTN13,51763.8–

37Morristown, TNTN33,51763.4–

38Kingsport, TNTN57,53061.6–

39Lexington, TNTN8,13060.6–

40Clarksville, TNTN188,82958.9–

41La Follette, TNTN7,17658.4–

42Greeneville, TNTN16,14158.4–

43Loudon, TNTN6,96357.8–

44Harrison, TNTN8,01157.7–

45Pulaski, TNTN8,39457.5–

46Chattanooga, TNTN194,14456.9–

47Cookeville, TNTN38,21255.0–

48Oak Ridge, TNTN35,39554.2–

49Nashville, TNTN721,07453.9–

50Savannah, TNTN7,68953.5–

51Dickson, TNTN17,05153.3–

52Germantown, TNTN40,00152.7–

53Memphis, TNTN609,64752.3–

54Murfreesboro, TNTN171,17852.2–

55Signal Mountain, TNTN8,82451.6–

56McMinnville, TNTN13,94351.4–

57Nolensville, TNTN15,78951.3–

58Clinton, TNTN10,46651.2–

59Covington, TNTN8,58551.2–

60Bartlett, TNTN56,41650.8–

61Church Hill, TNTN7,29750.7–

62Dunlap, TNTN6,08950.1–

63Bristol, TNTN28,10748.7–

64Atoka, TNTN10,64548.4–

65Lawrenceburg, TNTN12,23647.7–

66Jackson, TNTN69,33947.5–

67Lebanon, TNTN53,41247.2–

68Halls, TNTN10,27246.9–

69Franklin, TNTN90,22645.9–

70Mount Juliet, TNTN45,17244.6–

71Middle Valley, TNTN12,18743.5–

72Arlington, TNTN15,70343.4–

73Humboldt, TNTN7,84143.0–

74Sevierville, TNTN19,01041.9–

75Columbia, TNTN50,07241.5–

76Farragut, TNTN25,12140.5–

77Brownsville, TNTN9,30140.3–

78Union City, TNTN10,81440.1–

79Bolivar, TNTN5,04339.6–

80Lynchburg, TNTN6,92038.7–

81Martin, TNTN11,06038.0–

82Thompson's Station, TNTN9,46935.7–

83Millersville, TNTN6,43835.7–

84Knoxville, TNTN202,02134.5–

85Hendersonville, TNTN64,26634.3–

86Newport, TNTN7,04933.2–

87Paris, TNTN10,46832.4–

88Maryville, TNTN32,44231.8–

89Dyersburg, TNTN15,90631.4–

90Madisonville, TNTN5,42830.1–

91Seymour, TNTN16,21629.8–

92Ashland City, TNTN5,65029.8–

93Lenoir City, TNTN12,53029.4–

94Manchester, TNTN13,77627.2–

95Collierville, TNTN51,90926.6–

96Winchester, TNTN10,43826.2–

97Bloomingdale, TNTN9,29226.0–

98Lakeland, TNTN14,42225.3–

99Johnson City, TNTN74,94324.1–

100Jonesborough, TNTN6,99023.6–

101South Cleveland, TNTN7,45223.3–

102Smithville, TNTN5,62021.2–

103Collegedale, TNTN11,49919.2–

104East Ridge, TNTN21,92118.4–

105Sparta, TNTN5,03818.4–

106Jefferson City, TNTN9,10317.6–

107Brentwood, TNTN45,31317.0–

108Rockwood, TNTN5,60713.8–

109Millington, TNTN12,95313.2–

110Erwin, TNTN6,01912.1–

111Milan, TNTN8,36711.0–

112Sweetwater, TNTN6,70610.6–

113Munford, TNTN6,9968.5–

114Mount Carmel, TNTN5,5408.4–

115Mount Pleasant, TNTN5,1036.7–

116Medina, TNTN5,8130.0–

117Tellico, TNTN7,4140.0–

SHOWING 1–117 OF 117

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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES