| Little Nutbush Creek | former stream rising in N central Vance County and flowing NE into Nutbush Creek. Now submerged by the waters of Kerr Lake. |
| Little Panthertail Mountain | W Transylvania County between Panthertail Mountain and Indian Creek. |
| Little Paw Creek | rises in W Mecklenburg County and flows W into Catawba River. |
| Little Peachtree Creek | rises in E Franklin County and flows SE into Nash County, where it joins Big Peachtree Creek in forming Stony Creek. |
| Little Pee Dee River | is formed in SE Scotland County by the junction of Bridge and Leiths Creeks. It flows SE across the W corner of Robeson County and into South Carolina, where it enters Pee Dee River near its mouth. |
| Little Permetter Creek | rises in N central Anson County and flows S into Permetter Creek, which see. |
| Little Persimmon Creek | rises in E Cleveland County and flows NW into Persimmon Creek. |
| Little Peters Creek | rises in Virginia and flows SW into Stokes County, where it enters Peters Creek. |
| Little Pine Creek | rises in E Alleghany County and flows SW into Brush Creek. |
| Little Pine Creek | rises in W Jackson County and flows SE into Pine Creek. |