Groundwork

Health care · Metro area · Alabama

Primary care and pediatric clinics in the Florence-Muscle Shoals, AL metro area

How the Florence-Muscle Shoals, AL metro area compares with other metro areas and the U.S. for primary care and pediatric clinics: competitors, household spending, official counts and growth.

Groundwork market score · out of 100

Score 28 out of 100: Lower middle

Ranked #337 of 387 scored metro areas
#10 of 12 scored metro areas based in Alabama

Listings
60
5 chain locations (8%)
Official establishments
103
−5.5% since 2019
Household spending a year
$64.8M
On medical and dental services · $1,020 a household
Spending per listing
$1.1M
39% below the U.S.
Listings per 10k households
9.4
31% above the U.S.
Population, 2025
156,609
+3.5% since 2020

See the primary care and pediatric clinics around any address in the Florence-Muscle Shoals metro area

The site report maps the primary care and pediatric clinics 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 the Florence-Muscle Shoals metro area. Signed out, you see a blurred preview; on an account, each report is one action.

Free10 actions over 3 days, no card

Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

For primary care and pediatric clinics, the Florence-Muscle Shoals metro area has a Groundwork market score of 28 (lower middle): #337 of 387 scored metro areas and #10 of 12 scored metro areas based in Alabama. That puts it in the bottom quarter of metro areas.

Household spending on medical and dental services in the Florence-Muscle Shoals metro area comes to about $64.8M a year: $1,020 per household, 21% below the U.S. average. That is about $1.1M of household spending for each clinic on map listings, 39% below the U.S. figure of $1.8M. The spending figure covers all medical and dental services, not only primary care and pediatric clinics.

There are 60 primary care and pediatric clinics on map listings in the Florence-Muscle Shoals metro area as of September 2026. Chain locations make up 8% of them, against 9% across the U.S. That is 9.4 per 10,000 households, 31% above the U.S. rate of 7.2.

In 2023, official counts showed 103 businesses with payroll in the Florence-Muscle Shoals metro area classed as offices of physicians, down 5.5% from 2019. That is one for every 617 households, against one for every 593 across the U.S. Since fiscal 2022, 3 SBA-backed loans worth $1M have gone to businesses classed as offices of physicians in the Florence-Muscle Shoals metro area. Population estimates show the Florence-Muscle Shoals metro area grew 3.5% from 2020 to 2025, in step with the U.S. (+3.1%).

How the Florence-Muscle Shoals metro area 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 primary care and pediatric clinics counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.

Primary care and pediatrics in Florence-Muscle Shoals, AL metro area compared with Alabama and the U.S.
MeasureFlorence-Muscle Shoals metro areaAlabamaU.S.
Listings per 10k households9.47.17.2
Spending per listing$1.1M$1.5M$1.8M
Households per official establishment617718593
Official establishment growth, 2019–2023−5.5%−3.8%−2.2%
Population growth, 2020–2025+3.5%+3.2%+3.1%
Spending per household on medical and dental services$1,020$1,050$1,288
Median household income$61,891$63,999$80,734
Groundwork market score2837

Official counts and lending

Businesses

Official establishments, 2019 to 2023
103−5.5% over the period
Employees, 2023
1,205
Annual payroll, 2023
$88.6M
One-person businesses, 2023
112Businesses with no payroll
Map listings, September 2026
605 chain locations
Listings at the U.S. rate for this spending
36The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
3
Amount
$1M

SBA-backed loans to businesses classed as offices of physicians in the Florence-Muscle Shoals metro area, 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 the Florence-Muscle Shoals metro area

Population, 2025 estimate
156,609+3.5% since 2020
Households
63,559
Median age
41.7
Homes lived in by their owners
70%
Vehicles per household
2.0
Land area
1,261 sq. mi.
People per square mile
122
Median household income
$61,891+28.7% vs. 2015–2019, before inflation
Average household income
$81,683
Median home value
$187,400
Jobs located here
54,714
Daytime population
149,641Residents who don’t work, plus everyone whose job is here

Looking at a specific site in the Florence-Muscle Shoals metro area?

These figures cover the whole metro area. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the primary care and pediatric clinics on map listings by name and distance.

Or open the report at the center of the Florence-Muscle Shoals metro area. Signed out, you see a blurred preview; on an account, each report is one action.

Free10 actions over 3 days, no card

Primary care and pediatrics across Alabama

Every Alabama market ranked →

The highest-scoring metro areas in Alabama for primary care and pediatric clinics, numbered among those based in Alabama, with the Florence-Muscle Shoals metro area marked.

Top metro areas in Alabama

Metro areas in Alabama ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Auburn-Opelika, AL53506.5$1.6M+7.1%#174 of 387
2Daphne-Fairhope-Foley, AL52777.8$1.5M+14.8%#181 of 387
3Tuscaloosa, AL45636.0$1.7M+2.9%#242 of 387
4Huntsville, AL431818.8$1.4M+12.5%#255 of 387
5Birmingham, AL383026.5$1.7M+1.4%#282 of 387
6Decatur, AL37487.7$1.4M+2.5%#291 of 387
7Mobile, AL351026.3$1.6M−0.7%#299 of 387
8Dothan, AL32365.9$1.7M+3.4%#318 of 387
9Montgomery, AL301157.6$1.4M+0.9%#328 of 387
10Florence-Muscle Shoals, AL28609.4$1.1M+3.5%#337 of 387

Other business types in the Florence-Muscle Shoals metro area

Each with its Groundwork market score here, out of 100, where it has one.

Questions

How many primary care and pediatric clinics are in the Florence-Muscle Shoals, AL metro area?

As of September 2026, map listings count 60 primary care and pediatric clinics in the Florence-Muscle Shoals metro area. 5 of them (8%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 103 businesses with payroll classed as offices of physicians in 2023, down 5.5% from 2019. Official counts also show 112 one-person businesses without payroll.

How much do households in the Florence-Muscle Shoals, AL metro area spend on medical and dental services?

About $64.8M a year, or $1,020 per household. That is 21% below the U.S. average (an index of 79, where 100 is the U.S. average). Spread across the 60 primary care and pediatric clinics on map listings, it comes to $1.1M per clinic. That spending covers all medical and dental services, which primary care and pediatric clinics share with other businesses in the trade. It is estimated from the incomes of the 63,559 households in the Florence-Muscle Shoals metro area and national spending patterns by income.

How does the Florence-Muscle Shoals, AL metro area compare with the U.S. for primary care and pediatric clinics?

The Florence-Muscle Shoals metro area has 9.4 primary care and pediatric clinics per 10,000 households, 31% above the U.S. rate of 7.2. Spending per clinic is $1.1M, 39% below the U.S. figure of $1.8M. At the U.S. ratio of primary care and pediatric clinics to household spending, the Florence-Muscle Shoals metro area would have about 36, against 60 on map listings. There is one business with payroll in the industry for every 617 households, against one for every 593 across the U.S. The official count fell 5.5% from 2019 to 2023, against −2.2% for the U.S.

How fast is the Florence-Muscle Shoals, AL metro area growing?

Population estimates put the Florence-Muscle Shoals metro area at 156,609 people in 2025, up 3.5% since 2020, in step with the U.S. (+3.1%). It has 63,559 households. Median household income in the Florence-Muscle Shoals metro area is $61,891, 23% below the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 28.7%, 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. The Florence-Muscle Shoals metro area scores 28 for primary care and pediatric clinics (lower middle), #337 of 387 scored metro areas.

How can I see the market around a specific site?

Run a Groundwork site report on an address in the Florence-Muscle Shoals metro area. It maps the primary care and pediatric clinics 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 primary care and pediatric clinics · All 56 business types in the Florence-Muscle Shoals metro area

Screening a site or an acquisition in the Florence-Muscle Shoals metro area?

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 the Florence-Muscle Shoals metro area. 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.