| Patton Gap | SE Buncombe County between Big Flats and High Hickory Knob in the Swannanoa Mountains. |
| Patton Mountain | central Buncombe County near the headwaters of Ross Creek. |
| Patton Mountain | central Macon County at the head of Blaine Branch. |
| Patton Ridge | community in W Wilkes County near the head of South Prong Lewis Fork Creek. |
| Pattonsville | former community in Granville County W of the mouth of Tabb Creek on Tar River. Appears on the McRae map, 1833. |
| Paul Gamiels Hill | N end of Bodie Island in E Dare County. Site of lifesaving station est. in 1878-79. Lifesaving Service and Revenue Cutter Service joined to form U.S. Coast Guard in 1915. Active until after World War II. |
| Pauls Creek | rises in Virginia and flows S into Surry County, where it enters Stewarts Creek. Approx. 14 mi. long. |
| Pauls Gap | on the Haywood-Swain county line between Cataloochee Balsam and Sugar Tree Licks. Alt. approx. 5,100. |
| Paw Creek | rises in W Mecklenburg County and flows SW into Catawba River. |
| Paw Creek | community in W Mecklenburg County. Name of the railroad depot is Thrift. |