The U.S. Department of Veterans Affairs is locking in a huge new footprint on the North Nashville riverfront, signing a long-term lease for a major outpatient medical clinic inside the Kingdom Land mixed-use campus next to American Baptist College. Metro planning filings and federal procurement records say the facility will pull together specialty outpatient care now scattered across Nashville, which is expected to free up space at the main Nashville VA Medical Center.
What the VA Will Build
In a final environmental assessment from the U.S. Department of Veterans Affairs Office of Construction and Facilities Management, the VA outlines plans for an outpatient clinic of about 212,301 square feet, with roughly 1,100 parking spaces and room for approximately 430 full-time staff. The assessment describes the project as an outpatient clinic, or OPC, that will consolidate primary care, mental health services, and a broad slate of outpatient specialty clinics into a single modern building.
Site Plan and Design
Metro Nashville's preliminary specific plan puts the clinic at 0 Baptist World Center Drive inside the Kingdom Land campus owned by the American Baptist Theological Seminary. The drawings show a three-story structure of roughly 202,982 gross square feet with a 55-foot memorial plaza greeting patients at the main entrance. Site plans prepared by BakerBarrios call for landscape buffers, improved sidewalks, bicycle parking, and separate staff and service access from Youngs Lane.
Lease, Price Tag and Developer
Federal procurement records show the VA has awarded a 20-year lease to E2L FDS Nashville, LLC for about 157,256 net usable square feet. The total lease contract value clocks in at approximately $303,045,993.55 and includes 1,100 parking spaces, according to a federal award notice on Sam.gov. The notice lists January 30, 2026, as the award date and specifies that the lease commencement will be set once the building is substantially complete and formally accepted by the government.
Services and Expected Impact for Veterans
The Nashville Post reports that the clinic is slated to provide primary care, rehabilitation, and mental health treatment, along with specialty services such as radiology, audiology, ophthalmology, cardiology, dermatology, podiatry, optometry, and women’s health. The VA expects the new center to serve more than 22,000 veterans. Hannah McDuffie, public affairs chief for VA Tennessee Valley Healthcare System, told the Post that shifting outpatient specialty work to the OPC will let the Nashville VA Medical Center renovate and expand more complex services, including surgery.
Part of a PACT Act Push
The North Nashville facility is one of three new outpatient clinics that VA Tennessee Valley Healthcare System is planning under PACT Act funding, with related projects in Cookeville and Clarksville as part of a wider Middle Tennessee buildout. TVHS project pages for 2026 list multiple clinic openings and relocations that fold into a broader modernization of the regional health system.
Timeline and Next Steps
Planning filings and local reporting indicate construction could start in the third or fourth quarter of 2026, with a target opening around 2030 under the current schedule, as reported by the Nashville Post. The VA has completed a Final Environmental Assessment and issued a Finding of No Significant Impact, clearing the federal environmental review process while leaving local approvals and building permits as the next hoops to jump through.
What Neighbors and Veterans Should Expect
Metro documents place the site in Council District 2 and identify Kyonzte' Toombs as the district’s councilmember. The filings call for a sizable surface parking field and controlled access points that will go under the microscope in permitting. VA and TVHS officials say they will keep veterans in the loop on appointment shifts and clinic relocations as the project inches toward construction.
