| Patterson Top | W Cherokee County N of Hiwassee Dam and E of Anderson Creek. |
| Patterson Township | former township in SW Alamance County, now township no. 1. |
| Patterson Township | N central Caldwell County. |
| Patterson Township | former township in SW Durham County, now combined with Cedar Fork Township to form Triangle Township. |
| Pattersons Bridge | community in SW Moore County served by post office, 1876-98. |
| Pattersons Mill | See Roberta. |
| Patton | mining town in SE McDowell County near Dysartsville. Named for Patton family, local landowners. |
| Patton Cove | NW Buncombe County E of Hanlon Mountain. |
| Patton Cove | the valley through which Patton Cove Creek flows in SE Buncombe County. |
| Patton Cove Creek | rises near Patton Gap in SE Buncombe County and flows N through Patton Cove into Swannanoa River. |