| Little Pisgah Ridge | NW Henderson County, a part of Pisgah Ridge. |
| Little Plumtree Creek | rises in central Avery County and flows S and W into Plumtree Creek. |
| Little Pocket Creek | rises in W Lee County and flows NE into Pocket Creek. |
| Little Pole Creek | rises near Luther Knob in SW Buncombe County and flows S into Pole Creek. |
| Little Polecat Creek | rises in N Randolph County and flows SW into Polecat Creek. |
| Little Pond Branch | rises in W Watauga County and flows NW into Pond Branch. |
| Little Porpoise Bay | in Pamlico Sound on the E side of Goose Creek Island, NE Pamlico County. |
| Little Prong | community in NW Brunswick County. |
| Little Quankey Creek | rises in N Halifax County and flows SE into Quankey Creek. |
| Little Raft Swamp | rises in S Hoke County and flows SE into Raft Swamp in N Robeson County. |