| Pigeonroost Creek | rises in NW Mitchell County and flows SW into Toe River. |
| Pigeonroost Creek | rises in W Watauga County and flows NE into Dutch Creek. See also Dutch Creek Falls. |
| Pigpen Bluff | NE Yancey County at the S end of Green Mountain. |
| Pigpen Cove | NE Buncombe County between Pinnacle Mountain and Cedar Cliff Knob. |
| Pigpen Creek | rises in NE Yancey County and flows NW into Toe River. |
| Pigpen Flats | SE Swain County on the head of Connelly Creek. |
| Pigpen Knob | NE Buncombe County between High Knob and Sheepwallow Knob. |
| 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. |