| Pile Creek | rises in NE Cherokee County and flows S into Valley River. |
| Pilgrim | community in central Davidson County served by post office, 1892-95. |
| Pilkey Creek | rises in W Swain County and flows SW into Fontana Lake. |
| Pilot | community in S Franklin County. |
| Pilot Cove | N Transylvania County, extends SE from Slate Rock Ridge to Bradley Creek. |
| Pilot Creek | rises in E Surry County and flows SW into Ararat River. |
| Pilot Gap | W Swain County on Pilot Ridge. |
| Pilot Knob | on Avery-Caldwell county line. |
| Pilot Knob | S Madison County at the head of Bailey Branch. |
| Pilot Knob | W Swain County in Great Smoky Mountains National Park at the SE end of Pilot Ridge, lat. 35°27'53" N., long. 83°34'22" W. Alt. 2,967. |