ZIP code
38476
in Primm Springs, TennesseePopulation 1,228
48.72/ 100
Ranked #18,045 of 32,066 US ZIPs (bottom 44%)
Ranked #115 of 616 Tennessee ZIPs (top 19%)
Ranked #48 of 110 Nashville-Davidson--Murfreesboro--Franklin, TN ZIPs (top 44%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Crowded housing
16.4%
in the top 1.9% nationally
Lower is healthier
ST99thUS98thDefinition & source ›
The share of occupied homes with more than one person per room, the Census definition of crowded housing.
Full methodology ›Poverty rate
3.1%
in the bottom 10.1% nationally
Lower is healthier
ST4thUS10thDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Housing-cost burden
11.1%
in the bottom 10.9% nationally
Lower is healthier
ST9thUS11thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Distance to a nursing home
10 mi
in the top 11.1% nationally
Lower is healthier
ST98thUS89thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Distance to a hazardous-chemical facility
11.4 mi
in the top 12.0% nationally
Higher is healthier
ST91stUS88thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest facility that handles enough hazardous chemicals to require an EPA risk-management plan for accidental releases.
Full methodology ›Distance to an emergency room
13.9 mi
in the top 13.2% nationally
Lower is healthier
ST95thUS87thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Slow internet speeds
0.74%
in the top 14.7% nationally
Lower is healthier
ST92ndUS85thDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Walkability
3 intersections/sq mi
in the bottom 15% nationally
Higher is healthier
ST7thUS15thDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›The read
Primm Springs, Tennessee (ZIP 38476), in overall standing, comes out in the bottom 44% nationally (18,045th) and the top 19% of Tennessee (115th).
A demanding profile, and several measures drive it: crowded housing sits in the top 1.9% nationally, and distance to a nursing home stands in the top 11.1% nationally. On the stronger side, unemployment resides at the national minimum, shared with about 15% of ZIPs. Households without a vehicle sits at the national minimum, shared with about 16% of ZIPs. Poverty stands in the bottom 10.1% nationally, and housing-cost burden resides in the bottom 10.9% nationally. Distance to a hazardous-chemical facility sits in the top 12.0% nationally, and modeled arsenic stands in the bottom 12.3% nationally. Modeled tree cover resides in the top 12.5% nationally, and disaster risk sits in the bottom 12.8% nationally.
Set within its surrounding area, crowded housing runs far higher than the surrounding ZIPs on this measure. Defined simply, for reference, distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. Arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. The closest healthier ZIP overall is ZIP 37062, just across the boundary.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts. Compare it against the US, this state and the Nashville-Davidson--Murfreesboro--Franklin, TN metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Nothing measured is lifting this score.
About typical
Chronic Disease Burden
healthier than 41%
21%
Social Need / SDOH
healthier than 57%
16%
Environmental Hazard
healthier than 41%
14%
Preventive Care
healthier than 52%
13%
Risk Behavior
healthier than 54%
11%
Disability
healthier than 49%
7%
Climate / Disaster Risk
healthier than 50%
5%
Holding it back
Mental Health
healthier than 21%
8%
Healthcare Access
healthier than 21%
5%
Lifting this score
Chronic Disease Burden
healthier than 74%
21%
Social Need / SDOH
healthier than 60%
16%
Preventive Care
healthier than 82%
13%
Risk Behavior
healthier than 83%
11%
Mental Health
healthier than 92%
8%
Disability
healthier than 81%
7%
Climate / Disaster Risk
healthier than 67%
5%
Holding it back
Environmental Hazard
healthier than 33%
14%
Healthcare Access
healthier than 17%
5%
Lifting this score
Preventive Care
healthier than 79%
13%
Risk Behavior
healthier than 69%
11%
Mental Health
healthier than 86%
8%
Climate / Disaster Risk
healthier than 68%
5%
About typical
Environmental Hazard
healthier than 42%
14%
Disability
healthier than 51%
7%
Holding it back
Chronic Disease Burden
healthier than 33%
21%
Social Need / SDOH
healthier than 27%
16%
Healthcare Access
healthier than 10%
5%
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
37025
Tennesseeshares a border
Score 43.64
Closest healthier
37062
Tennesseeshares a border
Score 52.79
Similar health profile
25420
West Virginia97% similar profile
Score 48.49
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 33.1% | 30.4–35.6 |
| High blood pressure among adults | 41.1% | 38.1–44.2 |
| Cancer (non-skin) or melanoma among adults | 9.9% | 9.1–10.7 |
| Current asthma among adults | 10.5% | 9.5–11.5 |
| Coronary heart disease among adults | 7.5% | 6.7–8.2 |
| Chronic obstructive pulmonary disease among adults | 8.7% | 7.6–10.0 |
| Depression among adults | 27.0% | 24.3–29.9 |
| Diagnosed diabetes among adults | 13.4% | 11.9–14.8 |
| High cholesterol among adults who have ever been screened | 41.4% | 38.3–44.6 |
| Obesity among adults | 34.1% | 29.6–39.0 |
| Stroke among adults | 3.7% | 3.3–4.0 |
| All teeth lost among adults aged >=65 years | 12.4% | 10.5–14.4 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 10.1% | 8.5–11.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.1% | 75.8–80.2 |
| Visits to doctor for routine checkup within the past year among adults | 78.0% | 75.5–80.5 |
| Cholesterol screening among adults | 87.7% | 86.2–89.1 |
| Colorectal cancer screening among adults aged 45–75 years | 65.9% | 62.2–69.5 |
| Visited dentist or dental clinic in the past year among adults | 60.4% | 57.4–63.1 |
| Mammography use among women aged 50-74 years | 76.7% | 71.3–81.5 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.6% | 12.8–16.6 |
| Current cigarette smoking among adults | 16.4% | 14.0–18.9 |
| No leisure-time physical activity among adults | 24.7% | 21.2–28.3 |
| Short sleep duration among adults | 37.1% | 32.8–41.5 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 20.7% | 18.2–23.3 |
| Frequent mental distress among adults | 17.7% | 16.0–19.4 |
| Frequent physical distress among adults | 14.7% | 13.1–16.3 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 15.8% | 14.1–17.7 |
| Any disability among adults | 34.1% | 30.4–37.6 |
| Hearing disability among adults | 8.3% | 7.4–9.1 |
| Independent living disability among adults | 8.4% | 7.4–9.4 |
| Mobility disability among adults | 15.7% | 13.8–17.7 |
| Self-care disability among adults | 3.7% | 3.3–4.2 |
| Vision disability among adults | 4.8% | 4.3–5.3 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TN median (p10–p90) |
|---|---|---|---|
| Poverty rate | 3.1% | 10.6% (3.1–25.8%) n=32,364 | 13.8% (5.1–26.1%) n=609 |
| Uninsured 18–64 | 6.1% | 9.0% (1.5–24.3%) n=32,286 | 14.0% (5.9–24.0%) n=615 |
| No HS diploma (25+) | 12.6% | 7.9% (1.8–20.7%) n=32,505 | 11.6% (4.2–19.5%) n=613 |
| Bachelor's or higher (25+) | 17.3% | 23.3% (9.2–53.6%) n=32,505 | 19.0% (10.0–42.6%) n=613 |
| Unemployment rate (16+) | 0.0% | 3.9% (0.0–9.8%) n=32,274 | 4.0% (0.4–9.6%) n=613 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 3.9% (0.3–10.1%) n=608 |
| Broadband subscription | 90.1% | 89.3% (75.1–97.1%) n=32,322 | 86.7% (76.0–94.9%) n=608 |
| Housing cost burden (≥30% income) | 11.1% | 23.7% (10.6–40.0%) n=32,322 | 21.4% (11.8–33.6%) n=608 |
| Homeownership rate | 87.7% | 78.7% (51.7–94.0%) n=32,322 | 77.7% (53.4–91.5%) n=608 |
| Crowded housing (>1 per room) | 16.4% | 1.3% (0.0–6.3%) n=32,322 | 1.5% (0.0–4.5%) n=608 |
| Foreign-born population | 5.2% | 2.6% (0.0–18.6%) n=32,553 | 1.8% (0.0–8.3%) n=617 |
| Single-parent households | 32.9% | 53.6% (37.3–74.1%) n=32,087 | 52.6% (39.1–68.7%) n=608 |
| Population 65+ | 16.4% | 19.4% (10.8–33.6%) n=32,553 | 19.0% (11.5–27.9%) n=617 |
| Median age | 29.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.3 yr (33.8–52.5) n=615 |
| Median household income | $83,654 | $72,070 ($46,039–$118,707) n=30,318 | $61,577 ($42,745–$94,822) n=594 |
| Median home value | $574,000 | $222,200 ($100,300–$579,820) n=30,049 | $215,100 ($120,900–$397,120) n=593 |
| Median gross rent | — | $1,021 ($677–$1,912) n=25,670 | $908 ($659–$1,523) n=516 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | TN median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 77.3 yr ± 1.01 | 78.9 yr (74.7–82.8) n=31,308 | 75.1 yr (72.6–78.1) n=587 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 1.01 years of 77.3, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured