| Pigpen Knob | S Watauga County between Buck Ridge and Fall Ridge. |
| Pigtail | community in central Caldwell County near Hulme Hill. |
| Pike | community in S Cumberland County served by post office, 1877-1901. |
| Pike | community in N Scotland County served by post office from 1901 to 1908. |
| Pike Creek | rises in central Pender County and flows SE into Northeast Cape Fear River. |
| Pike Crossroads | community in W Wayne County between Little River and Nahunta Swamp. Named for Quaker family that settled in the area prior to 1758. |
| Pike Road | community in N Beaufort County. |
| Pikeville | town in N Wayne County in a region first settled by Quakers and on land originally granted to Samuel Pike in 1763. Land transferred in 1785 to Nathan Pike, for whom the town was named. Inc. in 1891. Alt. 142. |
| Pikeville Township | N central Wayne County. |
| Pilands Crossroads | community in SE Hertford County. |