Groundwork

Health care · County · Alabama

Primary care and pediatric clinics in Montgomery County, AL

How Montgomery County, AL compares with other counties and the U.S. for primary care and pediatric clinics: competitors, household spending, official counts and growth.

Groundwork market score · out of 100

Score 20 out of 100: Low

Ranked #1,543 of 1,656 scored counties
#43 of 47 scored counties in Alabama

Listings
81
9 chain locations (11%)
Official establishments
169
−9.6% since 2019
Household spending a year
$92.2M
On medical and dental services · $1,009 a household
Spending per listing
$1.1M
36% below the U.S.
Listings per 10k households
8.9
24% above the U.S.
Population, 2025
225,891
−1.1% since 2020

See the primary care and pediatric clinics around any address in Montgomery County

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 Montgomery County. 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, Montgomery County has a Groundwork market score of 20 (low): #1,543 of 1,656 scored counties and #43 of 47 scored counties in Alabama. That puts it in the bottom quarter of counties.

As of September 2026, map listings count 81 primary care and pediatric clinics in Montgomery County. Chain locations make up 11% of them, against 9% across the U.S. That is 8.9 per 10,000 households, 24% above the U.S. rate of 7.2.

Households in Montgomery County spend about $92.2M a year on medical and dental services, or $1,009 per household, 22% below the U.S. average. That is about $1.1M of household spending for each clinic on map listings, 36% below the U.S. figure of $1.8M. That spending covers all medical and dental services, which primary care and pediatric clinics share with other businesses in the trade.

Official counts show 169 businesses with payroll classed as offices of physicians in Montgomery County in 2023, down 9.6% from 2019. That is one for every 541 households, against one for every 593 across the U.S. Since fiscal 2022, 2 SBA-backed loans worth $650K have gone to businesses classed as offices of physicians in Montgomery County. Between 2020 and 2025, the population of Montgomery County declined 1.1%, against +3.1% for the U.S.

How Montgomery 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 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 Montgomery County, AL compared with Alabama and the U.S.
MeasureMontgomery CountyAlabamaU.S.
Listings per 10k households8.97.17.2
Spending per listing$1.1M$1.5M$1.8M
Households per official establishment541718593
Official establishment growth, 2019–2023−9.6%−3.8%−2.2%
Population growth, 2020–2025−1.1%+3.2%+3.1%
Spending per household on medical and dental services$1,009$1,050$1,288
Median household income$59,386$63,999$80,734
Groundwork market score2037

Official counts and lending

Businesses

Official establishments, 2019 to 2023
187 → 169−9.6% over the period
Employees, 2023
2,922
Annual payroll, 2023
$254.8M
One-person businesses, 2023
158Businesses with no payroll
Map listings, September 2026
819 chain locations
Listings at the U.S. rate for this spending
52The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
2
Amount
$650K

SBA-backed loans to businesses classed as offices of physicians in Montgomery 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 Montgomery County

Population, 2025 estimate
225,891−1.1% since 2020
Households
91,381
Median age
37.8
Homes lived in by their owners
58%
Vehicles per household
1.7
Land area
785 sq. mi.
People per square mile
289
Median household income
$59,386+18.5% vs. 2015–2019, before inflation
Average household income
$83,436
Median home value
$171,900
Jobs located here
132,478
Daytime population
270,619Residents who don’t work, plus everyone whose job is here

Looking at a specific site in Montgomery 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 primary care and pediatric clinics on map listings by name and distance.

Or open the report at the center of Montgomery County. 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 counties in Alabama for primary care and pediatric clinics, numbered among those based in Alabama, with Montgomery County marked.

Top counties in Alabama

Counties in Alabama ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Elmore County, AL73144.3$2.6M+4.2%#201 of 1,656
2Lawrence County, AL6953.7$2.8M+2.3%#275 of 1,656
3Coffee County, AL6794.3$2.5M+6.3%#319 of 1,656
4St. Clair County, AL67164.6$2.4M+7.1%#322 of 1,656
5Shelby County, AL60536.1$2.1M+6.5%#515 of 1,656
6Cullman County, AL58164.5$2.3M+6.7%#566 of 1,656
7Chilton County, AL57105.6$1.8M+5.9%#620 of 1,656
8Limestone County, AL56307.3$1.6M+18.0%#659 of 1,656
9Pike County, AL5564.8$2M+2.4%#681 of 1,656
10Lee County, AL53476.8$1.6M+8.6%#753 of 1,656
43Montgomery County, AL20818.9$1.1M−1.1%#1,543 of 1,656

Other business types in Montgomery County

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

Questions

How many primary care and pediatric clinics are in Montgomery County, AL?

Montgomery County has 81 primary care and pediatric clinics on map listings as of September 2026. 9 of them (11%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 169 businesses with payroll classed as offices of physicians in 2023, down 9.6% from 2019. Official counts also show 158 one-person businesses without payroll.

How much do households in Montgomery County, AL spend on medical and dental services?

About $92.2M a year, or $1,009 per household. That is 22% below the U.S. average (an index of 78, where 100 is the U.S. average). Spread across the 81 primary care and pediatric clinics on map listings, it comes to $1.1M per clinic. The spending figure covers all medical and dental services, not only primary care and pediatric clinics. It is estimated from the incomes of the 91,381 households in Montgomery County and national spending patterns by income.

How does Montgomery County, AL compare with the U.S. for primary care and pediatric clinics?

Montgomery County has 8.9 primary care and pediatric clinics per 10,000 households, 24% above the U.S. rate of 7.2. Spending per clinic is $1.1M, 36% below the U.S. figure of $1.8M. At the national ratio of primary care and pediatric clinics to household spending, Montgomery County would have about 52, against 81 on map listings. There is one business with payroll in the industry for every 541 households, against one for every 593 across the U.S. The official count fell 9.6% from 2019 to 2023, against −2.2% for the U.S.

How fast is Montgomery County, AL growing?

Population estimates put Montgomery County at 225,891 people in 2025, down 1.1% since 2020, against +3.1% for the U.S. It has 91,381 households. The median household income in Montgomery County is $59,386 a year, 26% below the U.S. median of $80,734. That rose 18.5% 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. Montgomery County scores 20 for primary care and pediatric clinics (low), #1,543 of 1,656 scored counties.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Montgomery County. 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 Montgomery County

Screening a site or an acquisition in Montgomery 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 Montgomery 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.