Groundwork

Health care · County · North Carolina

Primary care and pediatric clinics in Transylvania County, NC

Competitor counts, household spending and official business counts for primary care and pediatric clinics in Transylvania County, NC, set against other counties and the U.S.

Groundwork market score · out of 100

Score 49 out of 100: Lower middle

Ranked #854 of 1,656 scored counties
#43 of 79 scored counties in North Carolina

Listings
6
1 chain location (17%)
Official establishments
32
+52.4% since 2019
Household spending a year
$15.4M
On medical and dental services · $1,057 a household
Spending per listing
$2.6M
44% above the U.S.
Listings per 10k households
4.1
43% below the U.S.
Population, 2025
34,211
+2.9% since 2020

See the primary care and pediatric clinics around any address in Transylvania 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 Transylvania 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

As of September 2026, map listings count 6 primary care and pediatric clinics in Transylvania County. One of them (17%) is a chain location, against 9% across the U.S. That is 4.1 per 10,000 households, 43% below the U.S. rate of 7.2.

Households in Transylvania County spend about $15.4M a year on medical and dental services, or $1,057 per household, 18% below the U.S. average. That is about $2.6M of household spending for each clinic on map listings, 44% above 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 32 businesses with payroll classed as offices of physicians in Transylvania County in 2023, up 52.4% from 2019. That is one for every 456 households, against one for every 593 across the U.S. Another 23 one-person businesses have no payroll, by official counts.

Between 2020 and 2025, the population of Transylvania County grew 2.9%, in step with the U.S. (+3.1%). Transylvania County scores 49 (lower middle) on the Groundwork market score for primary care and pediatric clinics, ranking #854 of 1,656 scored counties and #43 of 79 scored counties in North Carolina.

How Transylvania County compares

The same measures for North Carolina 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 Transylvania County, NC compared with North Carolina and the U.S.
MeasureTransylvania CountyNorth CarolinaU.S.
Listings per 10k households4.17.27.2
Spending per listing$2.6M$1.6M$1.8M
Households per official establishment456782593
Official establishment growth, 2019–2023+52.4%+0.1%−2.2%
Population growth, 2020–2025+2.9%+7.2%+3.1%
Spending per household on medical and dental services$1,057$1,116$1,288
Median household income$66,184$72,388$80,734
Groundwork market score4950

Official counts and lending

Businesses

Official establishments, 2019 to 2023
21 → 32+52.4% over the period
Employees, 2023
182
Annual payroll, 2023
$15.3M
One-person businesses, 2023
23Businesses with no payroll
Map listings, September 2026
61 chain location
Listings at the U.S. rate for this spending
9The 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 Transylvania 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 Transylvania County

Population, 2025 estimate
34,211+2.9% since 2020
Households
14,584
Median age
50.3
Homes lived in by their owners
75%
Vehicles per household
1.9
Land area
378 sq. mi.
People per square mile
89
Median household income
$66,184+31.8% vs. 2015–2019, before inflation
Average household income
$88,954
Median home value
$373,600
Jobs located here
9,403
Daytime population
30,592Residents who don’t work, plus everyone whose job is here

Looking at a specific site in Transylvania 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 Transylvania 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 North Carolina

Every North Carolina market ranked →

The highest-scoring counties in North Carolina for primary care and pediatric clinics, numbered among those based in North Carolina, with Transylvania County marked.

Top counties in North Carolina

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
43Transylvania County, NC4964.1$2.6M+2.9%#854 of 1,656

Other business types in Transylvania 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 Transylvania County, NC?

Transylvania County has 6 primary care and pediatric clinics on map listings as of September 2026. One of them (17%) is a chain location. The listings count primary care, family medicine and pediatric clinics. Official counts show 32 businesses with payroll classed as offices of physicians in 2023, up 52.4% from 2019. Official counts list 23 one-person businesses without payroll.

How much do households in Transylvania County, NC spend on medical and dental services?

About $15.4M a year, or $1,057 per household. That is 18% below the U.S. average (an index of 82, where 100 is the U.S. average). Spread across the 6 primary care and pediatric clinics on map listings, it comes to $2.6M 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 14,584 households in Transylvania County and national spending patterns by income.

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

Transylvania County has 4.1 primary care and pediatric clinics per 10,000 households, 43% below the U.S. rate of 7.2. Spending per clinic is $2.6M, 44% above the U.S. figure of $1.8M. At the national ratio of primary care and pediatric clinics to household spending, Transylvania County would have about 9, against 6 on map listings. There is one business with payroll in the industry for every 456 households, against one for every 593 across the U.S. The official count rose 52.4% from 2019 to 2023, against −2.2% for the U.S.

How fast is Transylvania County, NC growing?

Population estimates put Transylvania County at 34,211 people in 2025, up 2.9% since 2020, in step with the U.S. (+3.1%). It has 14,584 households. The median household income in Transylvania County is $66,184 a year, 18% below the U.S. median of $80,734. That rose 31.8% 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. Transylvania County scores 49 for primary care and pediatric clinics (lower middle), #854 of 1,656 scored counties.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Transylvania 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 Transylvania County

Screening a site or an acquisition in Transylvania 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 Transylvania 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.