| Oyster Creek | rises on NW Goose Creek Island, NE Pamlico County, and flows NE into Pamlico River. |
| Oyster Creek Landing | community in S Hyde County on Swanquarter Bay. |
| Ozark | community in NE Wilkes County served by post office, 1882-1908. |
| Pace Branch | rises in central Cherokee County and flows SW into Rogers Creek. |
| Pacific | See Youngsville. |
| Pack Gap | SW Cherokee County on Pack Mountain. |
| Pack Mountain | SW Cherokee County, extends SE from Pack Gap near the Polk County, Tenn., line to Signal Pole Hill. In Nantahala National Forest. Named peaks include Harris Top, Pack Top, and Signal Pole Hill. |
| Pack Top | SW Cherokee County in Nantahala National Forest at the NW end of Pack Mountain near the Tennessee state line. Alt. approx. 2,415. |
| Packs Creek | rises in S Jackson County and flows NW into Robinson Creek. |
| Pacolet Fall | on Pacolet River in SE Henderson County. |