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Business phone system for physician practices in Alabama

2,665 physician practices operated in Alabama in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
2,665CBP 2023
Employees
38,726mid-March 2023
Per 100k residents
51.7U.S. 60.2
State rank
23rd of 51by count

The medical practice industry in Alabama

Alabama had 2,665 physician practices in 2023, according to Census County Business Patterns (NAICS 621111, Offices of Physicians (except Mental Health Specialists)). They employed 38,726 people in mid-March and reported $3.5 billion in annual payroll. That is the 23rd highest count among the 51 states and DC with published figures. Physician practices make up 2.5% of the 105,720 business establishments in the state.

Per 100,000 residents (2024 estimate) Alabama has 51.7 physician practices, 14.1% below the national rate of 60.2. The average establishment has 14.5 employees against 13.2 nationally. Payroll per employee is $89,933, 14.9% below the U.S. figure of $105,652.

Physician practices: Alabama compared with the U.S., 2023
MeasureAlabamaUnited States
Establishments2,665204,617
Mid-March employees38,7262,706,297
Annual payroll$3,482,736,000$285,925,593,000
Employees per establishment14.513.2
Payroll per employee$89,933$105,652
Establishments per 100,000 residents51.760.2

Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.

Alabama's largest markets for physician practices

Census published medical practice counts for 26 metro or micropolitan areas that include part of Alabama. The largest is Birmingham, AL, with 742 establishments. Single-state metro and micropolitan areas account for 94% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Physician practices by metro or micropolitan area, Alabama, 2023
AreaEstablishmentsEmployeesPer 100k residents
Birmingham, AL74211,56862.2
Huntsville, AL3494,88864.4
Columbus, GA-AL2412,18274.3
Montgomery, AL1982,97351.0
Mobile, AL1744,54142.2
Daphne, AL1251,47047.8
Tuscaloosa, AL1241,69044.0
Dothan, AL1081,92469.8
Florence, AL1001,19764.0
Decatur, AL7964449.5
Gadsden, AL791,01676.5
Anniston, AL7482263.6
Auburn, AL7184434.5
Albertville, AL5856756.8
LaGrange, GA-AL4867045.6
Cullman, AL4259145.4
Scottsboro, AL3123257.6
Fort Payne, AL3035541.0
Talladega, AL2928731.6
Alexander City, AL2222154.1
Selma, AL2020856.3
Enterprise, AL1822831.9
Russellville, AL109531.4
Troy, AL8—24.2
Ozark, AL63612.0

Top 25 of 26 areas by establishments. Source: Census CBP 2023.

Team sizes at physician practices in Alabama

41.7% of Alabama's physician practices with employees had fewer than five people in March 2023, compared with 52.7% nationally. 62.8% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.

Physician practices in Alabama by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees1,11241.7%52.7%
5–9 employees56221.1%18.7%
10–19 employees48818.3%14.7%
20–49 employees37113.9%9.8%
50 or more employees1314.9%4.2%

Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.

Why the phone matters for physician practices in Alabama

Physician offices field a steady stream of scheduling, prescription refill and test-result calls, and the same few staff members usually answer all of them. Routing calls to the right person and capturing clear messages keeps the waiting room and the phone lines moving. That holds for physician practices in Alabama as much as anywhere.

A few of the calls that come in to physician practices in Alabama:

After-hours calls

After-hours callers need to hear clearly what to do in an emergency, and non-urgent messages need to be waiting, transcribed, for staff the next morning.

Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.

Phone system pricing for a 15-person medical practice

Physician practices in Alabama average 14.5 employees, so the comparison uses a 15-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 15 users on RingCentral RingEX Core cost $450.00 a month and 15 on Ooma Office Pro cost $374.25. On Callata the same 15 people cost $299.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $1,812. Some vendors discount annual contracts; the table shows month-to-month prices.

Monthly list price for a 15-person medical practice
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$299.00$3,588.00
Quo (Starter)$19.00 per user$285.00$3,420.00
Nextiva (Core)$23.00 per user$345.00$4,140.00
Ooma (Office Pro)$24.95 per user$374.25$4,491.00
Dialpad (Standard)$27.00 per user$405.00$4,860.00
RingCentral (RingEX Core)$30.00 per user$450.00$5,400.00

Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.

Area codes in Alabama

Alabama has 7 geographic area codes in service according to NANPA. You can choose local numbers in the area codes your patients know, subject to carrier inventory, or port your current number for free.

Area codes in Alabama by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
256786Central1998938
205785Central1947659
334784Central1995483
251528Central2001none
938193Central2010256
659177Central2019205
48311Central2026334

Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.

How Callata works for physician practices in Alabama

For $99 a month, Callata puts a team of up to 5 on one plan ($20 for each person after that): up to 3 local numbers, unlimited inbound calls, a pooled allowance of 1,500 outbound US and Canada minutes per user, browser and cell calling, voicemail transcription with urgency triage, recorded calls with AI summaries and business-hours routing, with E911 on every number.

If you already have a number in Alabama, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.

Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 9pm.

Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.

Frequently asked questions

How many physician practices are in Alabama?

2,665 in 2023, according to Census County Business Patterns. They employed 38,726 people in mid-March.

Which Alabama metro area has the most physician practices?

Birmingham, AL, with 742 establishments in 2023.

What does a phone system cost a 15-person medical practice?

$450.00 a month on RingCentral RingEX Core or $374.25 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $299.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a Alabama number?

Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.