Groundwork

Health care · County · Virginia

Primary care and pediatric clinics in James City County, VA

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

Groundwork market score · out of 100

Score 63 out of 100: Upper middle

Ranked #442 of 1,656 scored counties
#19 of 71 scored counties in Virginia

Listings
23
3 chain locations (13%)
Official establishments
39
+18.2% since 2019
Household spending a year
$42.7M
On medical and dental services · $1,334 a household
Spending per listing
$1.9M
4% above the U.S.
Listings per 10k households
7.2
In line with the U.S.
Population, 2025
83,326
+6.2% since 2020

See the primary care and pediatric clinics around any address in James City 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 James City 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

Household spending on medical and dental services in James City County comes to about $42.7M a year: $1,334 per household, 4% above the U.S. average. Spread across 23 primary care and pediatric clinics, that is $1.9M per clinic, 4% above the U.S. figure of $1.8M. The spending figure covers all medical and dental services, not only primary care and pediatric clinics.

James City County has 23 primary care and pediatric clinics on map listings as of September 2026. Of those, 3 are chain locations, or 13%, against 9% across the U.S. That is 7.2 per 10,000 households, in line with the U.S. rate of 7.2.

The official count of businesses with payroll classed as offices of physicians in James City County was 39 in 2023, up 18.2% from 2019. That is one for every 820 households, against one for every 593 across the U.S. Another 87 one-person businesses have no payroll, by official counts. Since fiscal 2022, 2 SBA-backed loans worth $1.2M have gone to businesses classed as offices of physicians in James City County.

Population estimates show James City County grew 6.2% from 2020 to 2025, faster than the U.S. (+3.1%). For primary care and pediatric clinics, James City County has a Groundwork market score of 63 (upper middle): #442 of 1,656 scored counties and #19 of 71 scored counties in Virginia.

How James City County compares

The same measures for Virginia 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 James City County, VA compared with Virginia and the U.S.
MeasureJames City CountyVirginiaU.S.
Listings per 10k households7.26.97.2
Spending per listing$1.9M$1.8M$1.8M
Households per official establishment820656593
Official establishment growth, 2019–2023+18.2%−2.9%−2.2%
Population growth, 2020–2025+6.2%+2.8%+3.1%
Spending per household on medical and dental services$1,334$1,264$1,288
Median household income$109,985$93,170$80,734
Groundwork market score6345

Official counts and lending

Businesses

Official establishments, 2019 to 2023
33 → 39+18.2% over the period
Employees, 2023
422
Annual payroll, 2023
$49.5M
One-person businesses, 2023
87Businesses with no payroll
Map listings, September 2026
233 chain locations
Listings at the U.S. rate for this spending
24The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
2
Amount
$1.2M

SBA-backed loans to businesses classed as offices of physicians in James City 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 James City County

Population, 2025 estimate
83,326+6.2% since 2020
Households
31,990
Median age
48.1
Homes lived in by their owners
77%
Vehicles per household
2.0
Land area
142 sq. mi.
People per square mile
569
Median household income
$109,985+25.4% vs. 2015–2019, before inflation
Average household income
$135,336
Median home value
$447,200
Jobs located here
27,780
Daytime population
77,881Residents who don’t work, plus everyone whose job is here

Looking at a specific site in James City 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 James City 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 Virginia

Every Virginia market ranked →

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

Top counties in Virginia

Counties in Virginia ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Frederick County, VA8961.7$7.5M+8.8%#14 of 1,656
2Stafford County, VA85224.2$3.6M+8.3%#37 of 1,656
3Orange County, VA8174.7$2.6M+10.1%#84 of 1,656
4Shenandoah County, VA7663.3$3.2M+3.6%#133 of 1,656
5Bedford County, VA75123.6$3.1M+4.4%#151 of 1,656
6Arlington County, VA74443.9$3.9M+2.1%#165 of 1,656
7Spotsylvania County, VA73285.3$2.5M+10.5%#202 of 1,656
8Fluvanna County, VA7365.8$2.1M+6.2%#205 of 1,656
9Warren County, VA7185.2$2.3M+4.8%#243 of 1,656
10York County, VA7051.9$7.3M+1.6%#249 of 1,656
19James City County, VA63237.2$1.9M+6.2%#442 of 1,656

Other business types in James City 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 James City County, VA?

Map listings as of September 2026 show 23 primary care and pediatric clinics in James City County. 3 of them (13%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 39 businesses with payroll classed as offices of physicians in 2023, up 18.2% from 2019. Official counts list 87 one-person businesses without payroll.

How much do households in James City County, VA spend on medical and dental services?

About $42.7M a year, or $1,334 per household. That is 4% above the U.S. average (an index of 104, where 100 is the U.S. average). Spread across the 23 primary care and pediatric clinics on map listings, it comes to $1.9M 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 31,990 households in James City County and national spending patterns by income.

How does James City County, VA compare with the U.S. for primary care and pediatric clinics?

James City County 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 $1.9M, 4% above the U.S. figure of $1.8M. At the U.S. ratio of primary care and pediatric clinics to household spending, James City County would have about 24, against 23 on map listings. There is one business with payroll in the industry for every 820 households, against one for every 593 across the U.S. The official count rose 18.2% from 2019 to 2023, against −2.2% for the U.S.

How fast is James City County, VA growing?

Population estimates put James City County at 83,326 people in 2025, up 6.2% since 2020, faster than the U.S. (+3.1%). It has 31,990 households. Median household income in James City County is $109,985, 36% above the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 25.4%, 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. James City County scores 63 for primary care and pediatric clinics (upper middle), #442 of 1,656 scored counties.

How can I see the market around a specific site?

Run a Groundwork site report on an address in James City 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 James City County

Screening a site or an acquisition in James City 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 James City 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.