| Pinson Creek | rises in S Caswell County and flows SE into South Country Line Creek. |
| Pioneer Mills | community in S Cabarrus County. Gold and copper mines operated there from the 1850s until 1931. |
| Piper Gap | See Lambsburg. |
| Piper Hill | SE Currituck County, former sand hill on S Currituck Banks. Erosion has now worn the hill down to beach level. |
| Pipes Branch | rises in E Cherokee County in the Valley River Mountains and flows S of Tibb Ridge into Peachtree Creek. |
| Pipetrack Gap | S Macon County between Thomas Knob and the North Carolina-Georgia state line. |
| Pipkins Crossroads | See Savages Crossroads. |
| Pireway | town in S Columbus County near Wacca maw River. Inc. 1883, but long in active in municipal affairs. Post office operated, 1855-1933, was known as Pireway Ferry after 1882. |
| Pisgah | community in S Randolph County. Named for nearby Pisgah Church. A post office est. there 1896, closed 1953. |
| Pisgah Creek | rises in E Haywood County and flows NW into East Fork Pigeon River. |