Groundwork

Health care · County · Alabama

Primary care and pediatric clinics in Pickens County, AL

The primary care and pediatric clinics in Pickens County, AL, the household spending behind them and how the market ranks against other counties.

Groundwork market score · out of 100

Score 24 out of 100: Low

Ranked #1,494 of 1,656 scored counties
#40 of 47 scored counties in Alabama

Listings
6
0 chain locations (0%)
Official establishments
7
Businesses with payroll, 2023
Household spending a year
$6.4M
On medical and dental services · $948 a household
Spending per listing
$1.1M
40% below the U.S.
Listings per 10k households
8.9
24% above the U.S.
Population, 2025
18,221
−3.9% since 2020

See the primary care and pediatric clinics around any address in Pickens 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 Pickens County. Signed out, you see a blurred preview; on an account, each report is one action.

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

What this means

The Groundwork market score for primary care and pediatric clinics in Pickens County is 24 (low), #1,494 of 1,656 scored counties and #40 of 47 scored counties in Alabama. That puts it in the bottom quarter of counties.

Map listings as of September 2026 show 6 primary care and pediatric clinics in Pickens County. None of them are chain locations, against 9% across the U.S. Per 10,000 households, that is 8.9, 24% above the U.S. rate of 7.2.

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. Spread across 6 primary care and pediatric clinics, that is $1.1M per clinic, 40% 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.

The official count of businesses with payroll classed as offices of physicians in Pickens County was 7 in 2023. That is one for every 966 households, against one for every 593 across the U.S. Between 2020 and 2025, the population of Pickens County declined 3.9%, against +3.1% for the U.S.

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 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 Pickens County, AL compared with Alabama and the U.S.
MeasurePickens CountyAlabamaU.S.
Listings per 10k households8.97.17.2
Spending per listing$1.1M$1.5M$1.8M
Households per official establishment966718593
Official establishment growth, 2019–2023n/a−3.8%−2.2%
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 score2437

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
60 chain locations
Listings at the U.S. rate for this spending
4The 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 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 primary care and pediatric clinics 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.

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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 Pickens 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
40Pickens County, AL2468.9$1.1M−3.9%#1,494 of 1,656

Other business types in Pickens 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 Pickens County, AL?

There are 6 primary care and pediatric clinics on map listings in Pickens County as of September 2026. None of them are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 7 businesses with payroll classed as offices of physicians in 2023. Official counts list 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 6 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 6,764 households in Pickens County and national spending patterns by income.

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

Pickens 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, 40% below the U.S. figure of $1.8M. At the national ratio of primary care and pediatric clinics to household spending, Pickens County would have about 4, against 6 on map listings. There is one business with payroll in the industry for every 966 households, against one for every 593 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 24 for primary care and pediatric clinics (low), #1,494 of 1,656 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 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 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.