Screen grab from Realtor

A picturesque Southern home designed by a popular New York architecture firm has listed for $50 million in Nashville, Tennessee.

Exterior Screen grab from Realtor

The mansion, owned by HCA Healthcare founder Tom Frist Jr., is the most expensive residence on the real estate market in the Volunteer State, according to Realtor.com and Mansion Global.

Living room Screen grab from Realtor

Sitting pretty on 49 acres, the almost 20,000-square-foot home is the definition of Southern elegance with both its exterior and interior. Ferguson & Shamamian designed the house, which was built in 2001.

Family room Screen grab from Realtor

“Centered on colonnaded porches in front and back, the house may have an impressive presence, and the body language appears to be formal,” the listing describes. “But the house that is scaled for entertaining and steeped in regional references offers a surprisingly comfortable, even relaxed environmental reality inside.

Screen grab from Realtor

“The house that commands the landscape actually invites the outside in, easing the formality with a porous indoor-outdoor attitude.”

Outdoor sitting area Screen grab from Realtor

The mansion has five bedrooms and 6.5-plus bathrooms with soaring ceilings, dramatic chandeliers, terraces and a covered patio made for entertaining guests. According to Mansion Global, it also has a tennis court, gazebo and guest house.

Kitchen Screen grab from Realtor

Frist Jr. is a former Air Force flight surgeon who founded HCA with his father in 1968, and his net worth is $18.8 billion, Forbes reports.

Pool Screen grab from Realtor

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TJ Macías is a Real-Time national sports reporter for McClatchy based out of the Dallas/Fort Worth Metroplex. Formerly, TJ covered the Dallas Mavericks and Texas Rangers beat for numerous media outlets including 24/7 Sports and Mavs Maven (Sports Illustrated). Twitter: @TayloredSiren