| Patterson Township | former township in SW Durham County, now combined with Cedar Fork Township to form Triangle Township. |
| Pattersons Bridge | community in SW Moore County served by post office, 1876-98. |
| Pattersons Mill | See Roberta. |
| Patton | mining town in SE McDowell County near Dysartsville. Named for Patton family, local landowners. |
| Patton Cove | NW Buncombe County E of Hanlon Mountain. |
| Patton Cove | the valley through which Patton Cove Creek flows in SE Buncombe County. |
| Patton Cove Creek | rises near Patton Gap in SE Buncombe County and flows N through Patton Cove into Swannanoa River. |
| Patton Gap | SE Buncombe County between Big Flats and High Hickory Knob in the Swannanoa Mountains. |
| Patton Mountain | central Buncombe County near the headwaters of Ross Creek. |
| Patton Mountain | central Macon County at the head of Blaine Branch. |