Madison County, North Carolina

NC · FIPS 37115 Republican

Located in North Carolina, Madison County has a population of 21,867 residents and a median age of 44.5 years, making it the #1,780 most populous county out of 3,222 nationwide. In terms of economic indicators, the county has a poverty rate of 12.1%. The median home value is $284,600, and the median household income is $58,531, which is 22% below the national median.

21,867
Population
#1,780 of 3,222
$58,531
Median Income
-22.1% #2,222 of 3,222
44.5 years
Median Age
+14.4% #832 of 3,222
12.1%
Poverty Rate
-3.8% #1,303 of 3,222

Demographics

Madison County has a population of 21,867, making it the #1,780 most populous county in the US. The median age is 44.5 years, which is 14.4% above the national median.

Population Trend

Rankings →

Year-over-Year Population Growth

Age & Sex Distribution

Race & Ethnicity

Nativity

98.7%
Native Born
1.3%
Foreign Born

Geographic Mobility (Past Year)

Economy

The median household income in Madison County is $58,531, ranking #2,222 out of 3,222 counties — 22.1% below the national median. The poverty rate is 12.1% and unemployment stands at 3.1%.

Income#2,222
$58,531
-22.1%
vs nation
31th percentile
Per Capita#1,575
$35,126
-14.9%
vs nation
51th percentile
Poverty#1,303
12.1%
-3.8%
vs nation
60th percentile
Unemployment#749
3.1%
-41.1%
vs nation
77th percentile

Income Distribution

Industry of Employment

Occupation

Housing

The median home value in Madison County is $284,600 (+1.0% vs national). Renters pay a median of $780/mo and the homeownership rate is 77.5%.

Home Value#708
$284,600
+1.0%
vs nation
78th percentile
Rent#2,267
$780
-32.9%
vs nation
29th percentile
Homeownership#1,059
77.5%
+20.3%
vs nation
67th percentile

Household Type

Education

In Madison County, 32.2% of adults age 25+ hold a bachelor's degree or higher, which is 4.4% below the national average, ranking #616 out of 3,222 counties.

Bachelor's Degree or Higher
32.2% −4.4% vs nation
Rank #616 of 3,222
81th percentile

Bachelor's Degree or Higher Trend

Rankings →

Health & Wellbeing

Life expectancy in Madison County is 74.7 years. 18.5% of adults report poor or fair health and 10.8% lack health insurance. Data from County Health Rankings (2025).

Life Expectancy#1,720
74.7
-0.6%
vs nation
44th percentile
Poor/Fair Health#1,474
18.5%
-5.4%
vs nation
53th percentile
Diabetes#1,047
9.8%
-12.0%
vs nation
67th percentile
Insufficient Sleep#353
32.0%
-14.2%
vs nation
89th percentile
Poor Mental Health Days#658
5.2
-8.7%
vs nation
79th percentile
Poor Physical Health Days#914
4.0
-9.4%
vs nation
71th percentile
Uninsured Rate#1,872
10.8%
+2.8%
vs nation
41th percentile
Physical Inactivity#867
23.1%
-12.4%
vs nation
72th percentile
Food Insecurity#2,103
15.8%
+9.7%
vs nation
33th percentile

Substance Use

18.4% of adults in Madison County smoke , 31.9% are obese , and 20.9% report excessive drinking. The drug overdose death rate is 38.5 per 100,000.

Adult Smoking#1,791
18.4%
+2.5%
vs nation
43th percentile
Adult Obesity#320
31.9%
-15.8%
vs nation
90th percentile
Excessive Drinking#1,943
20.9%
+5.1%
vs nation
38th percentile
Drug Overdose Deaths#1,546
38.5
+18.9%
vs nation
27th percentile

Safety

The suicide rate is 16.3 per 100,000. Motor vehicle deaths occur at a rate of 20.4 per 100,000.

Suicide Rate#968
16.3
-17.4%
vs nation
62th percentile
Firearm Fatalities#717
12.9
-27.8%
vs nation
71th percentile
Motor Vehicle Deaths#1,635
20.4
+1.0%
vs nation
42th percentile

Families & Children

20.0% of children in Madison County live in poverty . The teen birth rate is 17.2 per 1,000 females age 15–19.

Teen Birth Rate#1,167
17.2
-21.3%
vs nation
61th percentile
Child Poverty#1,908
20.0%
+5.3%
vs nation
39th percentile

Civic & Transportation

Voter turnout in Madison County is 74.7%. The mean commute time is 34.1 min, which is 23.4% above the national average.

Voter Turnout
74.7% NaN% vs nation
Rank #NaN of NaN
th percentile

Voter Turnout Trend

Mean Commute Time
34.1 min +23.4% vs nation
Rank #363 of 3,222
89th percentile

Mean Commute Time Trend

Rankings →

Elections

In the 2024 presidential election, Madison County voted Republican with a margin of 23.5%. The vote was 37.5% Dem / 61% Rep. Compared to 2020, the margin shifted 0.0 toward Republicans .

2024 REP +23.5%
37.5% 61%
Dem 13,561 votes Rep
2020 REP +23.5%
37.5% 61%
Dem 13,076 votes Rep
2016 REP +25.8%
35.6% 61.4%
Dem 10,966 votes Rep
2012 REP +9.1%
44.6% 53.7%
Dem 10,023 votes Rep
2008 REP +1.6%
48.4% 50%
Dem 10,379 votes Rep

Vote Share Over Time

About Madison County, North Carolina

Madison County, North Carolina has a total population of 21,867, making it the 1,780th most populous county in the United States. The median age in Madison County is 44.5 years, which is 14.4% above the national median of 38.9 years.

The median household income in Madison County is $58,531, which ranks #2,222 of 3,222 counties nationwide. This is 22.1% below the national median of $75,149. The poverty rate is 12.1%, lower than the national rate of 12.6%. The unemployment rate stands at 3.1%.

The median home value in Madison County is $284,600, 1.0% above the national median. Renters in Madison County pay a median gross rent of $780 per month. The homeownership rate is 77.5%, compared to the national rate of 64.4%.

In Madison County, 32.2% of residents aged 25 and older hold a bachelor's degree or higher, 4.4% below the national average of 33.7%. Health insurance coverage stands at 91.6% of the population. The average commute time for workers is 34.1 min.

Madison County is a diverse community. The largest racial or ethnic group is White (non-Hispanic) at 91.2% of the population, followed by Hispanic or Latino (3.6%) and Two or More Races (2.7%).

All data for Madison County, North Carolina comes from the U.S. Census Bureau's American Community Survey (ACS) 5-Year Estimates. These figures are estimates based on survey sampling and are subject to margin of error. For the most detailed and up-to-date data, visit the Census Bureau's official data portal.