| Pacolet River | rises in SE Henderson County near the South Carolina state line and flows NE into Polk County, where it turns SE to flow into South Carolina. There it enters Broad River. Sometimes also known as North Pacolet River. |
| Pactolus | town in E Pitt County. Inc. 1887. Named for the ancient river in Asia Minor. Alt. 22. |
| Pactolus Township | E Pitt County. |
| Paddy Creek | rises in W Burke County and flows SE approx. 6½ mi. into Lake James. |
| Paddy Mountain | central Ashe County W of West Jefferson. |
| Paddys Delight Creek | rises in N Northampton County and flows SE into Potecasi Creek. |
| Padgett | community in W Onslow County on Sandy Run Swamp. |
| Padgett Branch | rises in N Buncombe County and flows SE into White Branch. |
| Padgett Swamp | rises in W Onslow County and flows SE into Sandy Run Swamp. |
| Page | community in NW Pender County served by post office, 1887-1903. |