CallataGuides

Business phone system for physician practices in North Carolina

5,102 physician practices operated in North Carolina in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
5,102CBP 2023
Employees
97,759mid-March 2023
Per 100k residents
46.2U.S. 60.2
State rank
11th of 51by count

Physician practices in North Carolina by the numbers

North Carolina had 5,102 physician practices in 2023, according to Census County Business Patterns (NAICS 621111, Offices of Physicians (except Mental Health Specialists)). They employed 97,759 people in mid-March and reported $9.6 billion in annual payroll. That is the 11th highest count among the 51 states and DC with published figures. Physician practices make up 2.0% of the 258,169 business establishments in the state.

Per 100,000 residents (2024 estimate) North Carolina has 46.2 physician practices, 23.2% below the national rate of 60.2. The average establishment has 19.2 employees against 13.2 nationally. Payroll per employee is $98,347, 6.9% below the U.S. figure of $105,652.

Physician practices: North Carolina compared with the U.S., 2023
MeasureNorth CarolinaUnited States
Establishments5,102204,617
Mid-March employees97,759 (moderate noise)2,706,297
Annual payroll$9,614,319,000$285,925,593,000
Employees per establishment19.213.2
Payroll per employee$98,347$105,652
Establishments per 100,000 residents46.260.2

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.

North Carolina's largest markets for physician practices

Census published medical practice counts for 39 metro or micropolitan areas that include part of North Carolina. The largest is Charlotte, NC-SC, with 1,460 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 69% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Physician practices by metro or micropolitan area, North Carolina, 2023
AreaEstablishmentsEmployeesPer 100k residents
Charlotte, NC-SC1,46026,31350.6
Virginia Beach, VA-NC86714,92948.3
Raleigh, NC68615,60343.9
Asheville, NC4046,85795.7
Greensboro, NC2937,83136.6
Wilmington, NC2454,57951.0
Winston, NC219—31.1
Durham, NC2135,46834.3
Fayetteville, NC1572,13539.9
Hickory, NC1394,47137.3
Greenville, NC1182,62965.3
Pinehurst, NC741,54568.3
Jacksonville, NC5680426.3
New Bern, NC5587443.6
Shelby, NC5491352.8
Morehead City, NC5366775.4
Elizabeth City, NC49549118.3
Rocky Mount, NC4775631.9
Lumberton, NC4637238.8
Mount Airy, NC4354960.1
Burlington, NC4082721.9
Anderson Creek, NC3837026.0
Roanoke Rapids, NC3738958.2
Kill Devil Hills, NC35—91.7
Washington, NC34—76.3

Top 25 of 39 areas by establishments. Source: Census CBP 2023.

Team sizes at physician practices in North Carolina

41.5% of North Carolina's physician practices with employees had fewer than five people in March 2023, compared with 52.7% nationally. 60.2% 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 North Carolina by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees2,11641.5%52.7%
5–9 employees95418.7%18.7%
10–19 employees94418.5%14.7%
20–49 employees77015.1%9.8%
50 or more employees3186.2%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.

Calls a medical practice in North Carolina has to catch

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.

Calls a medical practice in North Carolina might handle in a typical week include:

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 19-person medical practice

Physician practices in North Carolina average 19.2 employees, so the comparison uses a 19-person team. Priced per seat, 19 users would run $570.00 a month on RingCentral RingEX Core and $474.05 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). On Callata the same 19 people cost $379.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $2,292. Some vendors discount annual contracts; the table shows month-to-month prices.

Monthly list price for a 19-person medical practice
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$379.00$4,548.00
Quo (Starter)$19.00 per user$361.00$4,332.00
Nextiva (Core)$23.00 per user$437.00$5,244.00
Ooma (Office Pro)$24.95 per user$474.05$5,688.60
Dialpad (Standard)$27.00 per user$513.00$6,156.00
RingCentral (RingEX Core)$30.00 per user$570.00$6,840.00

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 North Carolina

North Carolina has 10 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 North Carolina by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
910785Eastern1993472
336783Eastern1997743
704782Eastern1947980
919781Eastern1954984
828724Eastern1998none
252695Eastern1998none
980463Eastern2001704
984295Eastern2012919
743160Eastern2016336
472106Eastern2022910

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 North Carolina

Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.

If you already have a number in North Carolina, 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 North Carolina?

5,102 in 2023, according to Census County Business Patterns. They employed 97,759 people in mid-March.

Which North Carolina metro area has the most physician practices?

Charlotte, NC-SC, with 1,460 establishments in 2023.

What does a phone system cost a 19-person medical practice?

$570.00 a month on RingCentral RingEX Core or $474.05 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $379.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a North Carolina 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.