| Pousville | community in N Franklin County. |
| Poverty Branch | rises in N Buncombe County and flows SW into North Fork Ivy Creek. |
| Powder Burnt Creek | rises in NE Cherokee County and flows NW into Valley River. |
| Powder Springs | See Eupeptic Springs. |
| Powdermill Creek | rises in W Avery County and flows SE into North Toe River. Said to have been named because Lodawick and Dora Oakes, who lived along its banks, burned willow switches to make enough gunpowder to buy a slave. |
| Powel's Creek | See Greens Creek. |
| Powell Creek | rises in S Buncombe County and flows W into French Broad River. Skyland Lake, which see, is on the stream. |
| Powell Creek | rises in Virginia and flows SW into Northampton County, where it enters Meherrin River. |
| Powell Creek | rises in E Wake County and flows SW into Hodges Mill Creek. |
| Powell Crossroads | community in S Gates County. |