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Our Locations

TN Brain and Spine – Alcoa

TN Brain and Spine - Alcoa

TN Brain and Spine – Knox

TN Brain and Spine - Knox

TN Brain and Spine – Sevier

TN Brain and Spine - Sevier

About TN Brain and Spine

At TN Brain and Spine, we specialize in the treatment of conditions that affect the brain, spine and nervous system. With more than 50 years of combined medical experience, our expert healthcare team is ready to provide you with excellent care. Our office is conveniently located at Fort Sanders Regional Medical Center. We also have offices in Alcoa and Sevierville to bring expert neurosurgical care. We’re proud to be a member of Covenant Medical Group, the physician practice group of Covenant Health.

I am a compassionate and conservative surgeon who will take the time to listen to and educate my patients about the anatomy and physiology of their conditions and present effective treatment options. – Dr. Joshua Miller

Schedule an Appointment

Our team is ready to provide you with the right neurosurgical care when you need us. We’re accepting new patients. Please note, a referral is required from your doctor.

Frequently Asked Questions

What is minimally invasive spine surgery (MISS)?
What conditions can be treated with MISS?
What types of surgery can be performed using minimally invasive techniques?
How long is the average recovery period after an outpatient MISS procedure?
What is spinal instability or spondylolisthesis?
What does lumbar or spinal instrumentation mean?
If I have a fusion why do I need rods and screws in my spine?
Can you feel the rods and screws after surgery?
Do the rods and screws need to be removed?
Do you use a laser?

Conditions Treated

Brain Tumors
Cerebrovascular Disease
Facial Pain
Spine Conditions
Spine Tumors
Hemifacial Spasms
Trigeminal Neuralgia
Degenerative Disc Disease

Services and Procedures

Endoscopic Pituitary Surgery
Minimally Invasive Lumbar Fusion
Image Guided Craniotomy
Gamma Knife Radiosurgery

Patient Information

Patient Forms

Prepare for your visit by filling out these forms ahead of your appointment and bring them with you. This will help us provide you with an efficient visit. Thank you!

Patient Health History Forms
Patient Information Form
Patient Registration Agreement
Authorization to Release Health Information
Notice of Privacy Practices
Visit Reminders

We ask that you please arrive at least 30 minutes prior to your scheduled appointment. Please bring the following items with you to your visit:

  • Your current health insurance information
  • Your current Photo ID
  • Any medications you are currently taking in their original containers or in a list with dosages and times
  • Recent MRI results are needed in order for us to properly diagnose your condition. We can help you schedule an MRI if you don’t already have results from less than six months ago
  • All medical history records about your condition, including test results and evaluations by other doctors

Please note: In order to provide efficient care for all of our patients, you may be asked to reschedule your appointment if you do not arrive at least 30 minutes early.

Prescription Refills

It’s very important that you request your prescription refills during normal business hours before 4 p.m. Monday-Thursday or by 12 p.m. on Friday. Prescriptions will not be refilled on weekends or holidays.

You can request a refill on the MyCovenantHealth Patient Portal or by calling your pharmacy.

Go to MyCovenantHealth
Referrals & Precertification


No physician referral is necessary unless required by your insurance. Insurers often require a physician referral prior to your visit to TN Brain and Spine. As a courtesy to our patients, we will attempt to contact your primary care physician and request a referral. However, it is your responsibility to confirm that a referral has been obtained before you are seen by our providers if required by your insurance.


If a test or procedure is ordered by a TN Brain and Spine provider, our staff will obtain a necessary precertification on your behalf. Precertification for any tests or procedures ordered by your own primary care physician is the responsibility of your primary care provider’s office.

Patient Survey

Our Patients Are Important

We want to be your first and best choice for healthcare, and we need your feedback.

You will receive a text message or email asking you to complete a confidential and secure survey about your visit. Your feedback will help us continue to deliver excellent care. Thank you!

Had a Great Experience? Leave Us a Google Review!

How to leave a review:

  • Go to and search for TN Brain and Spine
  • When our page listing appears, go to the Review section and click “Write a review”
Leave a Review
Our Quality Data
  • Our minimally invasive spine center performs more than 300 elective surgeries each year, and 93% of patients who stay overnight in the hospital are able to go home after surgery instead of to a rehab hospital or nursing facility for recuperation.
  • Unlike traditional surgeries that may require blood transfusions, more than 99% of our minimally invasive spine surgery patients do not need transfusions.
  • 100% of our cervical and lumbar patients who undergo fusions have experienced no post-surgical infections.
Covenant Health