Groundwork

Health care · Small-town market · Tennessee

Primary care and pediatric clinics in the Cookeville, TN area

The primary care and pediatric clinics in the Cookeville, TN area, the household spending behind them and how the market ranks against other small-town markets.

Groundwork market score · out of 100

Score 36 out of 100: Lower middle

Ranked #343 of 458 scored small-town markets
#12 of 17 scored small-town markets based in Tennessee

Listings
49
2 chain locations (4%)
Official establishments
95
+5.6% since 2019
Household spending a year
$57.5M
On medical and dental services · $979 a household
Spending per listing
$1.2M
34% below the U.S.
Listings per 10k households
8.3
15% above the U.S.
Population, 2025
152,477
+7.6% since 2020

See the primary care and pediatric clinics around any address in the Cookeville 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 Cookeville area. 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

Household spending on medical and dental services in the Cookeville area comes to about $57.5M a year: $979 per household, 24% below the U.S. average. Spread across 49 primary care and pediatric clinics, that is $1.2M per clinic, 34% below the U.S. figure of $1.8M. The spending figure covers all medical and dental services, not only primary care and pediatric clinics.

The Cookeville area has 49 primary care and pediatric clinics on map listings as of September 2026. Of those, 2 are chain locations, or 4%, against 9% across the U.S. That comes to 8.3 for every 10,000 households, 15% above the U.S. rate of 7.2.

The official count of businesses with payroll classed as offices of physicians in the Cookeville area was 95 in 2023, up 5.6% from 2019. That is one for every 618 households, against one for every 593 across the U.S. Another 86 one-person businesses have no payroll, by official counts. Since fiscal 2022, 3 SBA-backed loans worth $409K have gone to businesses classed as offices of physicians in the Cookeville area.

Population estimates put the population change in the Cookeville area from 2020 to 2025 at +7.6%, faster than the U.S. (+3.1%). For primary care and pediatric clinics, the Cookeville area has a Groundwork market score of 36 (lower middle): #343 of 458 scored small-town markets and #12 of 17 scored small-town markets based in Tennessee.

How the Cookeville area compares

The same measures for Tennessee 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 Cookeville, TN area compared with Tennessee and the U.S.
MeasureCookeville areaTennesseeU.S.
Listings per 10k households8.37.87.2
Spending per listing$1.2M$1.4M$1.8M
Households per official establishment618632593
Official establishment growth, 2019–2023+5.6%−0.3%−2.2%
Population growth, 2020–2025+7.6%+5.6%+3.1%
Spending per household on medical and dental services$979$1,088$1,288
Median household income$55,380$69,595$80,734
Groundwork market score3636

Official counts and lending

Businesses

Official establishments, 2019 to 2023
95+5.6% over the period
Employees, 2023
884
Annual payroll, 2023
$56M
One-person businesses, 2023
86Businesses with no payroll
Map listings, September 2026
492 chain locations
Listings at the U.S. rate for this spending
32The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
3
Amount
$409K

SBA-backed loans to businesses classed as offices of physicians in the Cookeville 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 Cookeville area

Population, 2025 estimate
152,477+7.6% since 2020
Households
58,693
Median age
40.6
Homes lived in by their owners
68%
Vehicles per household
2.1
Land area
1,520 sq. mi.
People per square mile
96
Median household income
$55,380
Average household income
$75,930
Median home value
$237,000
Jobs located here
55,382
Daytime population
142,620Residents who don’t work, plus everyone whose job is here

Looking at a specific site in the Cookeville area?

These figures cover the whole small-town market. 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 Cookeville area. Signed out, you see a blurred preview; on an account, each report is one action.

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Primary care and pediatrics across Tennessee

Every Tennessee market ranked →

The highest-scoring small-town markets in Tennessee for primary care and pediatric clinics, numbered among those based in Tennessee, with the Cookeville area marked.

Top small-town markets in Tennessee

Small-town markets in Tennessee ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Lewisburg, TN7185.9$1.8M+10.5%#76 of 458
2Newport, TN5785.2$1.7M+5.1%#176 of 458
3Shelbyville, TN56178.7$1.2M+9.7%#190 of 458
4Fayetteville, TN55106.7$1.5M+4.3%#200 of 458
5Athens, TN54217.9$1.3M+8.2%#210 of 458
6Greeneville, TN50165.6$1.7M+5.0%#236 of 458
7Crossville, TN46176.0$1.6M+8.0%#266 of 458
8Lawrenceburg, TN44148.2$1.2M+6.2%#289 of 458
9Winchester, TN442011.5$892K+6.4%#291 of 458
10Paris, TN411410.4$897K+2.3%#312 of 458
12Cookeville, TN36498.3$1.2M+7.6%#343 of 458

Other business types in the Cookeville 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 Cookeville, TN area?

Map listings as of September 2026 show 49 primary care and pediatric clinics in the Cookeville area. 2 of them (4%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 95 businesses with payroll classed as offices of physicians in 2023, up 5.6% from 2019. Official counts list 86 one-person businesses without payroll.

How much do households in the Cookeville, TN area spend on medical and dental services?

About $57.5M a year, or $979 per household. That is 24% below the U.S. average (an index of 76, where 100 is the U.S. average). Spread across the 49 primary care and pediatric clinics on map listings, it comes to $1.2M 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 58,693 households in the Cookeville area and national spending patterns by income.

How does the Cookeville, TN area compare with the U.S. for primary care and pediatric clinics?

The Cookeville area has 8.3 primary care and pediatric clinics per 10,000 households, 15% above the U.S. rate of 7.2. Spending per clinic is $1.2M, 34% below the U.S. figure of $1.8M. At the U.S. ratio of primary care and pediatric clinics to household spending, the Cookeville area would have about 32, against 49 on map listings. There is one business with payroll in the industry for every 618 households, against one for every 593 across the U.S. The official count rose 5.6% from 2019 to 2023, against −2.2% for the U.S.

How fast is the Cookeville, TN area growing?

Population estimates put the Cookeville area at 152,477 people in 2025, up 7.6% since 2020, faster than the U.S. (+3.1%). It has 58,693 households. Median household income in the Cookeville area is $55,380, 31% below the U.S. median of $80,734.

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. A small-town market is a town of 10,000 to 50,000 people and the county or counties tied to it by commuting. 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 Cookeville area scores 36 for primary care and pediatric clinics (lower middle), #343 of 458 scored small-town markets.

How can I see the market around a specific site?

Run a Groundwork site report on an address in the Cookeville 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 Cookeville area

Screening a site or an acquisition in the Cookeville 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 Cookeville 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.