This Middle Tennessee grand division, which includes a few counties of the western section of the Cumberland Plateau, is bordered on the west by the Tennessee River, as it flows north. This area contains the fertile Central Basin.

Journey to the center of Tennessee's musical heritage at Nashville’s historic Ryman Auditorium, called the “Mother Church of Country Music.” Join musical legends at the Country Music Hall of Fame and the Grand Ole Opry. A paradise for history buffs, Nashville also offers one of the nation’s oldest working state capitals, antebellum homes and trails and historical battlefields. Middle Tennessee hits thrill seekers with Nashville Predator hockey games, Tennessee Titans football games and the Sounds Baseball Games. Equestrian admirers can horseplay along the Tennessee Walking Horse Trail. Make a toast to two of America's most famous whiskey distilleries, Jack Daniel and George Dickel. Or take a ride down the Cumberland River on the General Jackson Showboat.

Health care services in the Middle Tennessee region are heavily influenced by and benefit from the several large medical centers and multi-hospital chains that are headquartered in Nashville. These include St. Thomas Hospital, Columbia-HCA, Vanderbilt (a designated Perinatal Center), and Meharry Medical School and Medical Center. The proximity of these large medical centers to the smaller, rural hospitals in the Mid-Cumberland regions enhances access to high quality, sub-specialty care