Health care · County · Alabama
Medical and dental practices in Pickens County, AL
How Pickens County, AL compares with other counties and the U.S. for medical and dental practices: competitors, household spending, official counts and growth.
Groundwork market score · out of 100
Score 54 out of 100: Upper middle
Ranked #989 of 2,394 scored counties
#22 of 64 scored counties in Alabama
- Listings
- 20
- 3 chain locations (15%)
- Official establishments
- 7
- Businesses with payroll, 2023
- Household spending a year
- $6.4M
- On medical and dental services · $948 a household
- Spending per listing
- $320K
- 2.1 times the U.S.
- Listings per 10k households
- 29.6
- 65% below the U.S.
- Population, 2025
- 18,221
- −3.9% since 2020
See the medical and dental practices around any address in Pickens County
The site report maps the medical and dental practices on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of Pickens County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardSurvey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure
What this means
Households in Pickens County spend about $6.4M a year on medical and dental services, or $948 per household, 26% below the U.S. average. That is about $320K of household spending for each practice on map listings, 2.1 times the U.S. figure of $152K.
Pickens County has 20 medical and dental practices on map listings as of September 2026. Chain locations make up 15% of them, against 11% across the U.S. That is 29.6 per 10,000 households, 65% below the U.S. rate of 84.5.
The official count of businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Pickens County was 7 in 2023. That is one for every 966 households, against one for every 270 across the U.S. Official counts list 6 one-person businesses without payroll.
Between 2020 and 2025, the population of Pickens County declined 3.9%, against +3.1% for the U.S. Pickens County scores 54 (upper middle) on the Groundwork market score for medical and dental practices, ranking #989 of 2,394 scored counties and #22 of 64 scored counties in Alabama.
How Pickens County compares
The same measures for Alabama and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the medical and dental practices counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.
| Measure | Pickens County | Alabama | U.S. |
|---|---|---|---|
| Listings per 10k households | 29.6 | 64.4 | 84.5 |
| Spending per listing | $320K | $163K | $152K |
| Households per official establishment | 966 | 343 | 270 |
| Official establishment growth, 2019–2023 | n/a | +1.1% | +1.5% |
| Population growth, 2020–2025 | −3.9% | +3.2% | +3.1% |
| Spending per household on medical and dental services | $948 | $1,050 | $1,288 |
| Median household income | $46,274 | $63,999 | $80,734 |
| Groundwork market score | 54 | 54 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 5 → 7
- Employees, 2023
- 74
- Annual payroll, 2023
- $3.9M
- One-person businesses, 2023
- 6Businesses with no payroll
- Map listings, September 2026
- 203 chain locations
- Listings at the U.S. rate for this spending
- 42The U.S. ratio of listings to household spending, applied here
SBA-backed loans since fiscal 2022
- Loans
- 0
- Amount
- $0
SBA-backed loans to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Pickens County, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.
Population and households in Pickens County
- Population, 2025 estimate
- 18,221−3.9% since 2020
- Households
- 6,764
- Median age
- 42.3
- Homes lived in by their owners
- 76%
- Vehicles per household
- 2.1
- Land area
- 881 sq. mi.
- People per square mile
- 21
- Median household income
- $46,274+16.1% vs. 2015–2019, before inflation
- Average household income
- $68,757
- Median home value
- $123,900
- Jobs located here
- 3,396
- Daytime population
- 14,114Residents who don’t work, plus everyone whose job is here
Looking at a specific site in Pickens County?
These figures cover the whole county. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the medical and dental practices on map listings by name and distance.
Or open the report at the center of Pickens County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardDoctors, dentists and clinics across Alabama
Every Alabama market ranked →The highest-scoring counties in Alabama for medical and dental practices, numbered among those based in Alabama, with Pickens County marked.
Top counties in Alabama
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Henry County, AL | 76 | 15 | 21.2 | $466K | +7.1% | #166 of 2,394 |
| 2Lawrence County, AL | 75 | 27 | 19.8 | $519K | +2.3% | #193 of 2,394 |
| 3Hale County, AL | 71 | 10 | 17.7 | $496K | +2.9% | #302 of 2,394 |
| 4Elmore County, AL | 71 | 103 | 31.3 | $352K | +4.2% | #313 of 2,394 |
| 5Geneva County, AL | 70 | 17 | 16.0 | $585K | +3.2% | #330 of 2,394 |
| 6Cleburne County, AL | 70 | 11 | 18.4 | $519K | +6.0% | #332 of 2,394 |
| 7Limestone County, AL | 68 | 154 | 37.6 | $312K | +18.0% | #405 of 2,394 |
| 8St. Clair County, AL | 68 | 138 | 39.3 | $276K | +7.1% | #414 of 2,394 |
| 9Washington County, AL | 65 | 13 | 21.8 | $483K | −3.3% | #516 of 2,394 |
| 10Clay County, AL | 64 | 14 | 24.1 | $396K | −0.1% | #563 of 2,394 |
| 22Pickens County, AL | 54 | 20 | 29.6 | $320K | −3.9% | #989 of 2,394 |
Other business types in Pickens County
Each with its Groundwork market score here, out of 100, where it has one.
Food and drink
Groceries and convenience
Auto
Beauty and personal care
Fitness and classes
Health care
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many medical and dental practices are in Pickens County, AL?
Map listings as of September 2026 show 20 medical and dental practices in Pickens County. 3 of them (15%) are chain locations. The listings count every outpatient clinic and practice, and urgent care. Official counts show 7 businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in 2023. Official counts also show 6 one-person businesses without payroll.
How much do households in Pickens County, AL spend on medical and dental services?
About $6.4M a year, or $948 per household. That is 26% below the U.S. average (an index of 74, where 100 is the U.S. average). Spread across the 20 medical and dental practices on map listings, it comes to $320K per practice. It is estimated from the incomes of the 6,764 households in Pickens County and national spending patterns by income.
How does Pickens County, AL compare with the U.S. for medical and dental practices?
Pickens County has 29.6 medical and dental practices per 10,000 households, 65% below the U.S. rate of 84.5. Spending per practice is $320K, 2.1 times the U.S. figure of $152K. At the U.S. ratio of medical and dental practices to household spending, Pickens County would have about 42, against 20 on map listings. There is one business with payroll in the industry for every 966 households, against one for every 270 across the U.S.
How fast is Pickens County, AL growing?
Population estimates put Pickens County at 18,221 people in 2025, down 3.9% since 2020, against +3.1% for the U.S. It has 6,764 households. The median household income in Pickens County is $46,274 a year, 43% below the U.S. median of $80,734. That rose 16.1% from the 2015–2019 survey, before inflation.
What is the Groundwork market score?
The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. Pickens County scores 54 for medical and dental practices (upper middle), #989 of 2,394 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Pickens County. It maps the medical and dental practices on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.
How the score works · Top markets for medical and dental practices · All 56 business types in Pickens County
Screening a site or an acquisition in Pickens County?
A site report maps the competitors on map listings near an address and sizes the households and spending around it.
The button opens the report at the center of Pickens County. Signed out, you see a blurred preview; on an account, each report is one action.
This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.
Figures are estimates for research only. Not investment or real estate advice.