Macon County Health Department
601 Highway 52 By-Pass East, Lafayette, Tennessee, 37083-2637

Contact & location
- Address
- 601 Highway 52 By-Pass East, Lafayette, Tennessee, 37083-2637
- Records for
- Macon County, Tennessee
- Phone
- (615) 666-2142
- Official site
- Government website ↗
Last verified July 14, 2026
This office issues Tennessee state records
Macon County follows Tennessee’s fees, eligibility rules and processing times. Compare the statewide baseline below before choosing where to go.
- $15.00
- Tennessee birth certificate fee
- 3–4 days
- Statewide processing
- 7,227,750
- Tennessee population
Office hours
via Google| Monday | 8:00am - 4:30pm |
|---|---|
| Tuesday | 8:00am - 4:30pm |
| Wednesday | 8:00am - 4:30pm |
| Thursday | 8:00am - 4:30pm |
| Friday | 8:00am - 4:30pm |
| Saturday | closed |
| Sunday | closed |
Monday through Friday 8:00 a.m. to 4:00 p.m.
Certificates, fees & processing
| Record | Fee | Processing |
|---|---|---|
| Birth Certificate | $15.00Tennessee state fee | 3–4 daysTennessee estimate |
| Death Certificate | $15.00Tennessee state fee | 3–4 daysTennessee estimate |
Rows marked Tennessee state fee mean the office has not published its own price, so the statewide fee is shown. Processing times are set at state level — county offices do not publish their own — and are estimates that vary with demand.
The Macon County Health Department’s office or registry of vital records, offers a wide range of crucial services. These offices play a vital role in the protection and provision of essential documents such as birth certificates, death certificates . In addition to maintaining these primary records, they are responsible for managing and issuing copies of birth, marriage, and death records that occurred within the Township of Lafayette. Alongside record maintenance, this office provides valuable services like issuing certified copies of documents, overseeing the registration of domestic partnerships, and offering assistance to rectify any errors detected in vital records. Through these comprehensive services, the vital records office ensures the accuracy, accessibility, and integrity of vital records for the benefit of the community.
Reviews
★★★★★3.5 (24)- ★★★★★Heidi CGoogle
Most of the staff are friendly and nice. I'm putting this star because of nurse practitioner. She is EXTREMELY dis respectful and rude. And if I knew were I could complain about her that's were I would be. I'm really shocked she even has a job for how she treats patients.
- ★★★★★Angie KinseyGoogle
I've dealt with Macon County Health Department at various stages in my life. They're a valuable resource. They offered affordable basic Healthcare when I was very young and uninsured. They vaccinated my children when they were small at an affordable nominal cost. Now, later in my life during this pandemic, they've vaccinated and tested me and my family. They were polite, gentle, efficient and most of all- free of charge! We never had to wait more than 15 minutes. I understand in TN, they want to abolish the health department. This would be a tragedy- especially for young people and the uninsured. Macon county is rural and undeserved already. The health department should have MORE Funding here, not less. But they do a fantastic job with what little they have.
- ★★★★★Moriah DawnèGoogle
Overall for a state ran facility this office is good. The NPs are kind and caring, and fairly knowledgeable. I get the feeling they could use more med staff, but thats normal. I couldn't afford any health care if this service was not available. The rooms are clean and o actually see the staff washing their hands. It's not as nice as a private clinic, but like I said, for a state ran medical facility it is good. Just wish some specialist were available .
- ★★★★★Daisy McClanahanGoogle
I came here with my first pregnancy and only child, the receptionist always seemed reasonable but kind of impatient and some days rude. But TODAY I tried to call and make an appointment and I told her I have insurance and basically persuaded me to go somewhere else?... Instead of asking for my name and information she continued on saying that I can go anywhere else for a new pregnancy confirmation when I had no problems with this place before. So I probably will do exactly what she said and I will go anywhere else but there!!!
- ★★★★★SashGoogle
Super nice staff my kids don't mind to go here. 10/10 for caring staff.