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D−Health Grade
Health in Central · CDC PLACES 2025

On CDC estimates, Central is healthier than 4% of U.S. towns

Central trails Tennessee on 14 of 31 measures CDC estimates, and leads on none.

Modeled estimates for adults 18+, CDC’s own estimate for Central. How CDC estimates town health

What stands out · In brief

What stands out about health in Central

Central is in the bottom 4% of U.S. towns for health

On the seven CDC estimates behind the Health Grade, Central is healthier than only 4% of U.S. towns. It earns a D on six of the seven. Health Grade ↓

COPD, heart disease and stroke run high in Central

1 in 7 adults have COPD (13.6%), vs 8.6% across Tennessee. 1 in 10 adults have heart disease (10.4%), vs 7% across Tennessee. Stroke is also above the state: 5.2%, vs 3.7% across Tennessee. In all, Central runs above Tennessee on eight of 11 chronic conditions. Age is part of it: 31% of residents are 65 or older (Tennessee 17%), and COPD, heart disease and stroke are more common later in life. Conditions ↓

Dental care lags in Central

48.4% of adults saw a dentist this year, vs 58.1% across Tennessee. Among those 65 and older, 22.7% have lost all their teeth (Tennessee 14.6%). Checkups ↓

Central is healthier than its income would predict

Against all U.S. towns, Central is healthier than 4%. Against the 1,721 towns with similar household incomes ($28K–$47K), it’s healthier than 27%. Health Grade ↓

Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the Tennessee figure falls outside Central’s likely range.

Health Grade

What’s behind Central’s grade

On seven CDC estimates for adults, Central is healthier than 4% of U.S. towns. Obesity holds the grade up (fewer adults with obesity than 20% of U.S. towns); physical distress pulls it down (better than 2%).

DSelf-rated health29.7% · TN 22.4% · U.S. 19.4%
D−Physical distress20% · TN 14.9% · U.S. 13%
D−Mental distress21.1% · TN 19.3% · U.S. 15.9%
C−Obesity40.2% · TN 37.6% · U.S. 32.9%
D−Diabetes17.9% · TN 13.6% · U.S. 12%
D−Smoking23.2% smoke · TN 17.3% · U.S. 11.8%
DExercise34% · TN 26.6% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 4%
Less healthyHealthier
U.S. towns with similar incomes, $28K–$47K (1,721)Healthier than 27%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Central’s median household income is $37,444; among the 1,721 U.S. towns within 25% of that ($28K–$47K), it’s healthier than 27%, so it sits below most towns with similar incomes, too.

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Central could be anywhere from D− to C−.

How TownRatings grades health →

Chronic conditions

Out of every 100 Central adults…

Central runs above TN on 9 of 12 conditions. Tap one to see it as people.

14 of every 100 Central adults have COPD
Tennessee: 9 in 100 · worse · likely 11.5–16.1%
Better than TNWorseAbout the sameTennessee
Why age matters here

Central is an older town: 31% of residents are 65 or older, vs 17% across Tennessee. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Central as about how healthy they are.

Residents 65 and older

Central31%
Tennessee17%
Checkups & screenings

Keeping up with care

Share of Central adults getting routine care. The full ring is 100%; the dark tick marks Tennessee.

79%Yearly checkupTN 78%
48%Dentist visitTN 58%
86%Cholesterol checkTN 87%
59%Colon screeningTN 63%
73%MammogramTN 75%
79%Taking BP medsTN 76%
1 in 8
working-age adults has no health insurance
Central 12% · Tennessee 1 in 9 (11.6%)
Getting care

Care in and near Central

No hospital or community health center in Central itself. These are the nearest.

HNearest ERSycamore Shoals HospitalElizabethton · 2.8 miDirections →
★Best rated nearbyFranklin Woods Community Hospital★★★★★ · 6.0 miDirections →
+Low-cost careEast Tennessee State UniversityJohnson City · 3.5 mi · sliding-scale feesDirections →
2.8 mi
Sycamore Shoals Hospital
Elizabethton · ★★★★★
ER
3.5 mi
East Tennessee State University
2 sites · nearest in Johnson City
Sliding-scale fees
Directions to nearest
5.3 mi
Johnson City Medical Center
Johnson City · ★★★★★
ER
6 mi
Franklin Woods Community Hospital
Johnson City · ★★★★★
ER
8.3 mi
Rural Health Services Consortium
5 sites · nearest in Bluff City
Sliding-scale fees
Directions to nearest
18.7 mi
Wellmont Bristol Regional Medical Center
Bristol · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Central itself
✓ Dental careNo HRSA shortage area covers Central itself
✓ Mental healthCentral is not a shortage area

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Central; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

Habits

Everyday habits, side by side with Tennessee

Share of adults, with the Tennessee figure marked.

Get no exercise 34%TN 26.6%
Sleep under 7 hours 44.6%TN 38.2%
Binge drink 12.7%TN 14.6%
Smoke cigarettes 23.2%TN 17.3%
0%10%20%30%40%50%
Central, betterCentral, worseAbout the sameTennessee
Where Central gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Mind & connection

How Central adults are doing

About the same as Tennessee on each measure.

1 in 4Central adults lack social or emotional support
25.5% · TN 27.2% · About the same as TN
1 in 3Central adults have been diagnosed with depression
32.5% · TN 28.4% · About the same as TN
1 in 5Central adults are in frequent mental distress
21.1% · TN 19.3% · About the same as TN
The one neighbors can help with

A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 6
Central adults worry about having enough food
17.7% · TN 16.2%
About the same as TN
1 in 8
Central adults worry about keeping their housing
12.7% · TN 13.3%
About the same as TN
1 in 11
Central adults were threatened with a utility shut-off
9.4% · TN 9.1%
About the same as TN
1 in 10
Central adults lack reliable transportation
9.6% · TN 8.9%
About the same as TN

17.6% of Central adults receive SNAP (food stamps), compared with 14.3% across Tennessee.

Around town

Central and the towns around it

Central’s Health Grade ranks 3rd of 3 graded towns around it.

Elizabethton: 36.3%Johnson City: 36.2%Pine Crest: 37.7%Hunter: 35.9%Biltmore: 38.9%Valley Forge: 39.3%Gray: 35.1%Oak Grove: 34.8%Spurgeon: 34.4%Watauga: 40%Central: 40.2%CentralElizabethtonJohnson CitySycamore Shoals Hospital · Elizabethton · 2.8 mi · 2★ MedicareHJohnson City Medical Center · Johnson City · 5.3 mi · 1★ MedicareHFranklin Woods Community Hospital · Johnson City · 6 mi · 3★ MedicareHJohnson City Downtown Day Center · Johnson City · 3.5 mi+Bluff City Medical Center · Bluff City · 8.3 mi+
Healthier than TNNear TNLess healthyHHospital+Health center
Obesity
#11 of 11 towns on this map, healthiest first
Johnson City36.2%
Elizabethton36.3%
Central40.2%
TN37.6%

Nearby towns are shaded from CDC’s estimates for their ZIP codes, or CDC’s own figure for cities and villages.

Health next door

TownHealthObesityDiabetesSmokingFigures from
CentralD−40.2%17.9%23.2%CDC place
ElizabethtonD36.3%14.4%19.3%CDC place
Johnson CityC36.2%12.7%17.4%CDC place

Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

46%

of Central adults live with a disability (Tennessee 35.8%). Walking or climbing stairs is the most common.

Walking or climbing stairs23.7%
Thinking or memory20.7%
Hearing10.9%
Errands alone12.9%
Vision7.7%
Dressing or bathing6.2%
Tennessee

Every CDC estimate for Central

Share of adults, 39 measures, with CDC’s likely range.

On the 31 measures below that have a better and a worse direction, Central is better than Tennessee on 0 and worse on 14; on the rest, the Tennessee figure falls inside Central’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…CentralTNU.S.vs TN
Overall health
Fair or poor health29.7%25.2–34.422.4%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)20%17.2–22.914.9%13%Worse
Frequent mental distress (mental health not good 14+ days a month)21.1%18.4–23.919.3%15.9%About the same
Conditions
Obesity40.2%32.8–4837.6%32.9%About the same
Diabetes17.9%15.4–20.713.6%12%Worse
High blood pressure47.5%42.9–52.139.5%34.4%Worse
High cholesterol (adults screened in 5 years)45.4%40.9–5038.3%37.1%Worse
Arthritis39.8%35.9–43.730.6%25.3%Worse
Asthma11.8%10.4–13.311%9.9%About the same
Cancer, other than skin cancer10.3%9.2–11.48.2%7.9%Worse
Coronary heart disease10.4%9.1–11.87%6.4%Worse
COPD13.6%11.5–16.18.6%6.3%Worse
Stroke5.2%4.6–63.7%3.4%Worse
Lost all teeth (ages 65+)22.7%18.8–26.914.6%12.3%Worse
Habits
Smoke cigarettes23.2%19–27.417.3%11.8%Worse
No exercise outside work34%28.2–40.226.6%24.7%Worse
Binge drinking12.7%10.2–15.414.6%15.4%About the same
Sleep under 7 hours44.6%37.9–51.638.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)12%9.4–15.111.6%11%About the same
Checkup in the past year79.1%75.3–82.578.1%77.4%About the same
Dentist visit in the past year48.4%44.6–52.458.1%63.2%Worse
Cholesterol check in 5 years86.3%84–88.486.6%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)78.8%75.6–81.476.2%76.5%About the same
Colorectal cancer screening (ages 45–75)59.1%53.6–64.863.2%65.5%About the same
Mammogram in 2 years (women 50–74)73.1%65.2–80.475.2%76.4%About the same
Mind and connection
Ever told they have depression32.5%28.2–36.928.4%20.6%About the same
Lack social and emotional support25.5%22.1–29.127.2%23.6%About the same
Everyday needs
Worried about having enough food17.7%15.8–19.716.2%15%About the same
Worried about keeping housing12.7%11.2–14.413.3%12%About the same
Threatened with a utility shut-off9.4%8.2–10.79.1%7.6%About the same
Lack reliable transportation9.6%8.7–10.68.9%7.9%About the same
Received SNAP (food stamps)17.6%15.6–19.914.3%11.6%Higher
Disability
Any disability46%40.3–51.835.8%30.1%Higher
Difficulty walking or climbing stairs23.7%20.3–27.416.3%13.6%Higher
Difficulty concentrating or remembering20.7%17.8–23.817.4%13.9%Higher
Hearing difficulty10.9%9.6–12.47.6%6.7%Higher
Vision difficulty7.7%6.6–95.5%5.4%Higher
Difficulty doing errands alone12.9%11–159.5%7.9%Higher
Difficulty dressing or bathing6.2%5.2–7.24.1%3.8%Higher

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the Tennessee figure falls inside that range.

Questions about health in Central

Is Central a healthy place to live?

On seven CDC estimates for adults, Central is healthier than 4% of U.S. towns: D− for health. Among U.S. towns with similar household incomes it’s healthier than 27%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Central?

CDC estimates 40.2% of adults have obesity, likely between 32.8% and 48%, against 37.6% across Tennessee and 32.9% nationally.

What hospital is closest to Central?

Sycamore Shoals Hospital in Elizabethton, 2.8 miles in a straight line from Central’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in Central have no health insurance?

CDC estimates 12% of adults ages 18–64 have no health insurance (likely 9.4–15.1%), against 11.6% across Tennessee.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Central more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to C−.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Central.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Tennessee figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.