| Piedmont Springs | former resort in NW Burke County. Now abandoned. |
| Piedmont Springs | community in central Stokes County on Dan River. A popular resort from about 1900 to 1930, when the hotel burned. |
| Piedmont Triad | a term used for the Greensboro, High Point, Winston-Salem area. |
| Pierce Creek | rises in NW Macon County and flows NE into Nantahala River. |
| Pierce Creek | rises in SE Pamlico County and flows SE into Neuse River. Named for Edmond Pierce, who settled there in 1708. |
| Pierces Crossroads | community in N Halifax County. Named for the Pierce family, which settled there in 1812. |
| Pierceville | See Pearceville. |
| Pig Basket Creek | rises in NW Nash County and flows SE into Stony Creek. Legend says that an early settler, going home with a basket of newborn pigs, dropped them into the water as he tried to cross the stream while it was swollen after a storm. |
| Pig Point | extends into S waters of Currituck Sound in S Currituck County. |
| Pigeon Branch | rises in N Transylvania County near Pigeon Gap and flows SE into South Fork Mills River. |