Groundwork

Health care · County · Tennessee

Primary care and pediatric clinics in Madison County, TN

How Madison County, TN 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 22 out of 100: Low

Ranked #1,523 of 1,656 scored counties
#68 of 70 scored counties in Tennessee

Listings
42
5 chain locations (12%)
Official establishments
80
−19.2% since 2019
Household spending a year
$40.2M
On medical and dental services · $1,000 a household
Spending per listing
$956K
46% below the U.S.
Listings per 10k households
10.5
46% above the U.S.
Population, 2025
100,790
+2.0% since 2020

See the primary care and pediatric clinics around any address in Madison 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 Madison 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 Madison County is 22 (low), #1,523 of 1,656 scored counties and #68 of 70 scored counties in Tennessee. That puts it in the bottom quarter of counties.

Households in Madison County spend about $40.2M a year on medical and dental services, or $1,000 per household, 22% below the U.S. average. That is about $956K of household spending for each clinic on map listings, 46% below the U.S. figure of $1.8M. The spending figure covers all medical and dental services, not only primary care and pediatric clinics.

Madison County has 42 primary care and pediatric clinics on map listings as of September 2026. Of those, 5 are chain locations, or 12%, against 9% across the U.S. That comes to 10.5 for every 10,000 households, 46% above the U.S. rate of 7.2.

Official counts show 80 businesses with payroll classed as offices of physicians in Madison County in 2023, down 19.2% from 2019. That is one for every 502 households, against one for every 593 across the U.S. Population estimates show Madison County grew 2.0% from 2020 to 2025, slower than the U.S. (+3.1%).

How Madison County 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 Madison County, TN compared with Tennessee and the U.S.
MeasureMadison CountyTennesseeU.S.
Listings per 10k households10.57.87.2
Spending per listing$956K$1.4M$1.8M
Households per official establishment502632593
Official establishment growth, 2019–2023−19.2%−0.3%−2.2%
Population growth, 2020–2025+2.0%+5.6%+3.1%
Spending per household on medical and dental services$1,000$1,088$1,288
Median household income$60,042$69,595$80,734
Groundwork market score2236

Official counts and lending

Businesses

Official establishments, 2019 to 2023
99 → 80−19.2% over the period
Employees, 2023
1,536
Annual payroll, 2023
$154.5M
One-person businesses, 2023
164Businesses with no payroll
Map listings, September 2026
425 chain locations
Listings at the U.S. rate for this spending
23The 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 Madison 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 Madison County

Population, 2025 estimate
100,790+2.0% since 2020
Households
40,153
Median age
39.2
Homes lived in by their owners
62%
Vehicles per household
1.8
Land area
557 sq. mi.
People per square mile
178
Median household income
$60,042+24.7% vs. 2015–2019, before inflation
Average household income
$80,863
Median home value
$211,800
Jobs located here
61,474
Daytime population
118,262Residents who don’t work, plus everyone whose job is here

Looking at a specific site in Madison 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 Madison 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 Tennessee

Every Tennessee market ranked →

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

Top counties in Tennessee

Counties in Tennessee ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Fayette County, TN8074.1$2.9M+7.7%#92 of 1,656
2Hawkins County, TN7452.1$4.5M+5.0%#161 of 1,656
3Marshall County, TN6785.9$1.8M+10.5%#328 of 1,656
4Robertson County, TN65145.0$2.3M+9.9%#373 of 1,656
5Roane County, TN65125.3$2M+7.0%#377 of 1,656
6Rhea County, TN6453.7$2.6M+4.6%#400 of 1,656
7Montgomery County, TN64505.7$1.9M+13.0%#414 of 1,656
8Jefferson County, TN63136.0$1.7M+9.3%#444 of 1,656
9Blount County, TN62315.6$2M+6.0%#467 of 1,656
10Monroe County, TN58105.1$1.9M+7.2%#584 of 1,656
68Madison County, TN224210.5$956K+2.0%#1,523 of 1,656

Other business types in Madison 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 Madison County, TN?

Map listings as of September 2026 show 42 primary care and pediatric clinics in Madison County. 5 of them (12%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 80 businesses with payroll classed as offices of physicians in 2023, down 19.2% from 2019. Official counts list 164 one-person businesses without payroll.

How much do households in Madison County, TN spend on medical and dental services?

About $40.2M a year, or $1,000 per household. That is 22% below the U.S. average (an index of 78, where 100 is the U.S. average). Spread across the 42 primary care and pediatric clinics on map listings, it comes to $956K 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 40,153 households in Madison County and national spending patterns by income.

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

Madison County has 10.5 primary care and pediatric clinics per 10,000 households, 46% above the U.S. rate of 7.2. Spending per clinic is $956K, 46% below the U.S. figure of $1.8M. At the U.S. ratio of primary care and pediatric clinics to household spending, Madison County would have about 23, against 42 on map listings. There is one business with payroll in the industry for every 502 households, against one for every 593 across the U.S. The official count fell 19.2% from 2019 to 2023, against −2.2% for the U.S.

How fast is Madison County, TN growing?

Population estimates put Madison County at 100,790 people in 2025, up 2.0% since 2020, slower than the U.S. (+3.1%). It has 40,153 households. Median household income in Madison County is $60,042, 26% below the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 24.7%, 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. Madison County scores 22 for primary care and pediatric clinics (low), #1,523 of 1,656 scored counties.

How can I see the market around a specific site?

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

Screening a site or an acquisition in Madison 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 Madison 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.