Tennessee · Moderate

Do You Need a Medical Director for a Med Spa in Tennessee?

Q: Does a medical spa in Tennessee need a medical director?

Required; physician must oversee all injectable procedures Moderate; MSO model permitted with physician medical director This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Whether Tennessee requires a medical director — and what that director is actually on the hook for — shapes your staffing, your liability, and your startup budget. Here's the Tennessee picture.

By Evan at Inside MedSpa

Medical director requirement

Required; physician must oversee all injectable procedures

Corporate Practice of Medicine

Moderate; MSO model permitted with physician medical director This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Who can supervise or delegate

NP/PA may inject under collaborative agreement with physician; independent practice not permitted

How the exam ties in

Required; in-person exam by physician before treatment

What to verify in Tennessee

Ensure a Tennessee-licensed physician medical director is in place and that all RN/NP/PA injectors have signed collaborative agreements or delegation protocols.

Primary source: Tennessee Medical Board and Board of Nursing

General business information for Tennessee medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Tennessee board (and your own counsel) before you act.

See the full Tennessee regulation profile →

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