| Pepper Creek | rises in NE McDowell County and flows S into North Fork [Catawba River] near North Cove. |
| Peppers | community in W Mitchell County on Bee Creek. |
| Perch | community in SE Surry County served by post office, 1894-1904. |
| Perfection | community in W Craven County. |
| Perkins Branch | rises in central Watauga County and flows S into Hardin Creek. |
| Perkinsville | community in N Burke County on John's River. |
| Perkinsville | town authorized in 1819 to be laid off on the land of Constantine Perkins "on the main Hallow road" in the vicinity of modern Mount Airy, NE Surry County. There is no evidence that any building activity took place before 1848, after which the town of Mount Airy began to develop. |
| Perkinsville | community in central Watauga County on Perkins Branch and Hardin Creek. |
| Permetter Creek | rises in N central Anson County and flows S into Brown Creek. Named for the Permenter family, early settlers. |
| Permudas Island | approx. 1½ mi. long, in S Onslow County in Stump Sound. |