Groundwork

Market rankings · North Carolina

Primary care and pediatric clinics in North Carolina

Every metro area, small-town market and county in North Carolina, ranked by the Groundwork market score for primary care and pediatric clinics, with competitor counts and household spending for each.

Listings
3,079
273 chain locations (9%)
Official establishments
5,476
+0.1% since 2019
Household spending a year
$4.8B
On medical and dental services
Listings per 10k households
7.2
In line with the U.S.
Spending per listing
$1.6M
13% below the U.S.
Rank among states
#29 of 51
Market score 50 · Upper middle

A site report maps the primary care and pediatric clinics on map listings around any address in North Carolina by name and distance, and the spending within reach.

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

North Carolina has 3,079 primary care and pediatric clinics on map listings as of September 2026. 273 of them (9%) are chain locations, against 9% across the U.S. Per 10,000 households, that is 7.2, in line with the U.S. rate of 7.2.

Households in North Carolina spend about $4.8B a year on medical and dental services, or $1,116 per household, 13% below the U.S. average. That works out to $1.6M per clinic, 13% below the U.S. figure of $1.8M. The spending figure covers all medical and dental services, not only primary care and pediatric clinics.

In 2023, official counts showed 5,476 businesses with payroll in North Carolina classed as offices of physicians, up 0.1% from 2019. That is one for every 782 households, against one for every 593 across the U.S. Across the U.S., the count fell 2.2% over the same years. Since fiscal 2022, 54 SBA-backed loans worth $37.9M have gone to businesses classed as offices of physicians in North Carolina.

Among the 50 states and DC, North Carolina ranks #29 for primary care and pediatric clinics, with a Groundwork market score of 50 (upper middle). Of the 16 scored metro areas in or partly in North Carolina, the Burlington metro area scores highest (74). Of the 23 scored small-town markets in or partly in North Carolina, the Waynesville area scores highest (62).

Every market in North Carolina for primary care and pediatric clinics

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in North Carolina, highest first; the U.S. rank compares each market with every other of its kind. A metro area that crosses a state line is listed in each state it reaches, and numbered only in the state its page is under. How the score works.

Metro areas

Metro areas reaching North Carolina, ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Burlington, NC74263.7$2.8M+8.5%#39 of 387
2Winston-Salem, NC661324.7$2.3M+5.3%#81 of 387
3Pinehurst-Southern Pines, NC62204.5$2.6M+10.3%#103 of 387
4Rocky Mount, NC62244.1$2.4M+2.8%#105 of 387
5Jacksonville, NC60405.3$2M+6.0%#125 of 387
6Raleigh-Cary, NC594567.9$1.6M+12.6%#131 of 387
7Goldsboro, NC57245.1$2M+3.8%#141 of 387
8Wilmington, NC571306.5$1.7M+15.9%#142 of 387
9Durham-Chapel Hill, NC561998.0$1.5M+7.5%#150 of 387
10Greensboro-High Point, NC551815.7$1.9M+4.1%#155 of 387
11Charlotte-Concord-Gastonia, NC-SC469989.3$1.3M+10.1%#238 of 387
12Hickory-Lenoir-Morganton, NC411157.7$1.3M+3.2%#267 of 387
Virginia Beach-Chesapeake-Norfolk, VA-NC405577.9$1.5M+0.9%#269 of 387
13Greenville, NC38486.4$1.6M+5.4%#284 of 387
14Fayetteville, NC381047.0$1.5M+1.6%#286 of 387
15Asheville, NC261368.4$1.3M+3.6%#346 of 387

Small-town markets

Small-town markets reaching North Carolina, ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Waynesville, NC62114.1$2.5M+1.9%#132 of 458
2Anderson Creek, NC62346.8$1.6M+12.3%#139 of 458
3New Bern, NC59265.0$2.1M+3.6%#154 of 458
4North Wilkesboro, NC54134.8$1.9M+0.6%#206 of 458
5Brevard, NC5364.1$2.6M+2.9%#212 of 458
6Wilson, NC52185.4$1.8M+1.7%#221 of 458
7Sanford, NC48208.0$1.3M+10.8%#255 of 458
8Forest City, NC46228.3$1.2M+2.1%#268 of 458
9Kill Devil Hills, NC45137.7$1.6M+3.3%#272 of 458
10Albemarle, NC45239.1$1.1M+9.8%#284 of 458
11Morehead City, NC43257.8$1.4M+4.1%#295 of 458
12Mount Airy, NC39175.7$1.7M+1.3%#321 of 458
13Boone, NC38136.1$1.6M+0.6%#328 of 458
14Elizabeth City, NC37117.0$1.5M+4.5%#334 of 458
15Kinston, NC36135.6$1.6M+1.4%#339 of 458
16Marion, NC35158.0$1.2M+1.5%#347 of 458
17Roanoke Rapids, NC34124.2$2.2M−4.3%#350 of 458
18Shelby-Kings Mountain, NC33389.8$1M+3.4%#358 of 458
19Lumberton, NC33419.5$921K+3.4%#359 of 458
20Washington, NC32126.2$1.6M0.0%#362 of 458
21Henderson, NC28116.8$1.4M+0.2%#388 of 458
22Rockingham, NC28127.0$1.3M−1.6%#390 of 458
23Laurinburg, NC14118.7$1M−0.3%#446 of 458

Counties

Counties in North Carolina, ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Franklin County, NC8662.1$5.1M+18.8%#28 of 1,656
2Chatham County, NC84144.2$3M+11.0%#49 of 1,656
3Currituck County, NC8165.1$2.5M+16.7%#86 of 1,656
4Davidson County, NC77202.9$3.6M+6.6%#118 of 1,656
5Brunswick County, NC75304.3$2.6M+26.5%#158 of 1,656
6Alamance County, NC74263.7$2.8M+8.5%#173 of 1,656
7Davie County, NC7474.1$2.8M+6.9%#175 of 1,656
8Johnston County, NC74414.8$2.4M+17.9%#179 of 1,656
9Stokes County, NC7363.1$3.2M+3.5%#192 of 1,656
10Rowan County, NC73213.6$2.9M+5.6%#195 of 1,656
11Union County, NC72475.6$2.4M+11.7%#219 of 1,656
12Granville County, NC7162.7$4.1M+2.1%#228 of 1,656
13Person County, NC6863.7$2.8M+3.7%#300 of 1,656
14Yadkin County, NC6664.0$2.6M+2.9%#344 of 1,656
15Pender County, NC66145.5$2.1M+19.0%#353 of 1,656
16Hoke County, NC65115.7$1.8M+9.0%#380 of 1,656
17Alexander County, NC6364.2$2.4M+1.5%#429 of 1,656
18Sampson County, NC6394.2$2.3M+4.1%#431 of 1,656
19Moore County, NC62204.5$2.6M+10.3%#455 of 1,656
20Nash County, NC62184.6$2.2M+3.9%#463 of 1,656
21Onslow County, NC61405.3$2M+6.0%#490 of 1,656
22Henderson County, NC59234.5$2.4M+5.0%#535 of 1,656
23Duplin County, NC5994.3$2.2M+6.0%#538 of 1,656
24Harnett County, NC59346.8$1.6M+12.3%#551 of 1,656
25Edgecombe County, NC5863.1$3.1M+0.7%#555 of 1,656
Show all 100 counties
Counties in North Carolina, ranked for primary care and pediatric clinics by Groundwork market score, continued
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
26Haywood County, NC58114.1$2.5M+1.9%#559 of 1,656
27Wayne County, NC58245.1$2M+3.8%#578 of 1,656
28Rockingham County, NC58215.3$1.8M+3.3%#592 of 1,656
29Madison County, NC5856.0$1.7M+5.9%#598 of 1,656
30Lincoln County, NC57297.9$1.5M+13.2%#630 of 1,656
31Forsyth County, NC56935.8$1.9M+5.0%#647 of 1,656
32Guilford County, NC551275.8$1.9M+4.4%#683 of 1,656
33Montgomery County, NC5565.6$1.8M+2.7%#689 of 1,656
34Randolph County, NC55335.7$1.7M+3.5%#690 of 1,656
35Wake County, NC554098.9$1.5M+11.2%#699 of 1,656
36Durham County, NC531248.7$1.4M+7.7%#758 of 1,656
37Cabarrus County, NC538910.6$1.2M+9.9%#763 of 1,656
38Polk County, NC5266.7$1.6M+6.0%#784 of 1,656
39Yancey County, NC5267.4$1.4M+3.2%#792 of 1,656
40Wilkes County, NC51134.8$1.9M+0.6%#806 of 1,656
41Gaston County, NC51566.0$1.8M+7.8%#808 of 1,656
42Cherokee County, NC5086.0$1.6M+6.8%#846 of 1,656
43Transylvania County, NC4964.1$2.6M+2.9%#854 of 1,656
44Craven County, NC49245.6$1.8M+3.5%#867 of 1,656
45Jackson County, NC48105.4$1.8M+6.9%#897 of 1,656
46Wilson County, NC48185.4$1.8M+1.7%#898 of 1,656
47Ashe County, NC4897.4$1.3M+3.5%#915 of 1,656
48Orange County, NC46559.6$1.3M+6.1%#988 of 1,656
49Lee County, NC46208.0$1.3M+10.8%#991 of 1,656
50Iredell County, NC44699.0$1.3M+12.9%#1,051 of 1,656
51New Hanover County, NC43868.2$1.4M+8.6%#1,072 of 1,656
52Catawba County, NC43609.1$1.2M+5.8%#1,074 of 1,656
53Stanly County, NC43239.1$1.1M+9.8%#1,076 of 1,656
54Dare County, NC42137.7$1.6M+3.3%#1,088 of 1,656
55Bladen County, NC4297.6$1.2M+1.3%#1,102 of 1,656
56Burke County, NC41226.1$1.6M+1.6%#1,113 of 1,656
57Pitt County, NC41486.4$1.6M+5.4%#1,115 of 1,656
58Rutherford County, NC41228.3$1.2M+2.1%#1,134 of 1,656
59Carteret County, NC40257.8$1.4M+4.1%#1,152 of 1,656
60Mecklenburg County, NC4056412.1$1M+10.5%#1,163 of 1,656
61Macon County, NC38126.5$1.6M+5.8%#1,205 of 1,656
62Surry County, NC37175.7$1.7M+1.3%#1,223 of 1,656
63Caldwell County, NC37278.2$1.2M+0.7%#1,238 of 1,656
64Watauga County, NC36136.1$1.6M+0.6%#1,250 of 1,656
65Cumberland County, NC35937.2$1.4M+0.4%#1,272 of 1,656
66Columbus County, NC35157.5$1.2M0.0%#1,278 of 1,656
67Lenoir County, NC34135.6$1.6M+1.4%#1,296 of 1,656
68Pasquotank County, NC33117.0$1.5M+4.5%#1,323 of 1,656
69McDowell County, NC32158.0$1.2M+1.5%#1,348 of 1,656
70Cleveland County, NC31389.8$1M+3.4%#1,369 of 1,656
71Robeson County, NC31419.5$921K+3.4%#1,371 of 1,656
72Beaufort County, NC29126.2$1.6M0.0%#1,390 of 1,656
73Vance County, NC27116.8$1.4M+0.2%#1,433 of 1,656
74Richmond County, NC27127.0$1.3M−1.6%#1,438 of 1,656
75Buncombe County, NC2610810.6$1.1M+2.9%#1,463 of 1,656
76Halifax County, NC25115.4$1.7M−3.9%#1,473 of 1,656
77Chowan County, NC2169.8$1M+2.8%#1,535 of 1,656
78Scotland County, NC13118.7$1M−0.3%#1,616 of 1,656
79Hertford County, NC689.7$950K−11.2%#1,647 of 1,656
Caswell County, NCNot scored11.1$8.4M+0.4%
Anson County, NCNot scored33.5$2.5M−2.1%
Martin County, NCNot scored44.2$2.2M−1.6%
Greene County, NCNot scored22.9$3.1M+1.3%
Warren County, NCNot scored11.2$7.5M+1.6%
Avery County, NCNot scored45.9$1.8M+1.1%
Bertie County, NCNot scored00.0n/a−3.6%
Northampton County, NCNot scored11.3$7.4M−5.4%
Mitchell County, NCNot scored46.1$1.6M+1.1%
Swain County, NCNot scored11.7$6M−0.6%
Perquimans County, NCNot scored11.8$5.8M+3.6%
Pamlico County, NCNot scored23.7$2.7M+3.7%
Clay County, NCNot scored23.9$2.6M+9.9%
Alleghany County, NCNot scored23.9$2.4M+5.4%
Camden County, NCNot scored00.0n/a+8.8%
Washington County, NCNot scored00.0n/a−3.1%
Gates County, NCNot scored12.4$4.1M−2.1%
Jones County, NCNot scored00.0n/a+4.6%
Graham County, NCNot scored12.8$3.4M+1.9%
Hyde County, NCNot scored00.0n/a+1.0%
Tyrrell County, NCNot scored00.0n/a+9.3%

Markets with fewer than 5 primary care and pediatric clinics on map listings, and counties under 10,000 people, aren’t scored; they’re listed last in each table.

Questions

How many primary care and pediatric clinics are in North Carolina?

Map listings as of September 2026 show 3,079 primary care and pediatric clinics in North Carolina. 273 of them (9%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 5,476 businesses with payroll classed as offices of physicians in 2023, up 0.1% from 2019. Official counts list 6,964 one-person businesses without payroll.

How much do households in North Carolina spend on medical and dental services?

About $4.8B a year, or $1,116 per household. That is 13% below the U.S. average (an index of 87, where 100 is the U.S. average). Spread across the 3,079 primary care and pediatric clinics on map listings, it comes to $1.6M 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 4,282,345 households in North Carolina and national spending patterns by income.

How does North Carolina compare with the U.S. for primary care and pediatric clinics?

North Carolina has 7.2 primary care and pediatric clinics per 10,000 households, in line with the U.S. rate of 7.2. Spending per clinic is $1.6M, 13% below the U.S. figure of $1.8M. At the U.S. ratio of primary care and pediatric clinics to household spending, North Carolina would have about 2,683, against 3,079 on map listings. There is one business with payroll in the industry for every 782 households, against one for every 593 across the U.S. The official count rose 0.1% from 2019 to 2023, against −2.2% for the U.S.

Which market in North Carolina has the highest market score for primary care and pediatric clinics?

Among 16 scored metro areas in or partly in North Carolina, the Burlington metro area scores highest, at 74 (upper middle). Among 23 scored small-town markets in or partly in North Carolina, the Waynesville area scores highest, at 62 (upper middle). Among 79 scored counties in North Carolina, Franklin County scores highest, at 86 (high). Scores compare each market with others of its kind across the U.S.

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. North Carolina scores 50 for primary care and pediatric clinics (upper middle), #29 of the 50 states and DC.

How can I see the market around a specific site?

Run a Groundwork site report on an address in North Carolina. 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.

Primary care and pediatrics in other states

All 51 states

Top markets for primary care and pediatric clinics across the U.S. · All business types in North Carolina

Screening a site or an acquisition in North Carolina?

A site report maps the competitors on map listings near an address and sizes the households and spending around it.

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.