| Pasture Creek | stream in Nelson Bay that cuts NW into the mainland in NE Carteret County. Approx. ¼ mi. long. |
| Pat Knob | N Macon County between Sawmill Ridge and Shepherd Creek. |
| Pat Stable Branch | rises in SW Macon County and flows NE into Nantahala River. |
| Pat Stable Ridge | SW Macon County between Kimsey Bald and Pat Stable Branch. |
| Patchet Creek | rises in E Lee County and flows S into Little River. |
| Pate Creek | rises in NW Mitchell County and flows S into Pigeonroost Creek. |
| Pate Store | community in E Wayne County S of the community of Cherry and N of The Slough. |
| Pates | community in W Robeson County. Inc. 1883, but long inactive in municipal affairs. Named for Ed Pate, a railroad employee. |
| Patetown | town in E Wayne County near The Slough. Inc. 1907, but no longer active in municipal affairs. Named for the Pate family living in the area. |
| Patrick | community in W Cherokee County near Camp Creek. |