| Patton Ridge | community in W Wilkes County near the head of South Prong Lewis Fork Creek. |
| Pattonsville | former community in Granville County W of the mouth of Tabb Creek on Tar River. Appears on the McRae map, 1833. |
| Paul Gamiels Hill | N end of Bodie Island in E Dare County. Site of lifesaving station est. in 1878-79. Lifesaving Service and Revenue Cutter Service joined to form U.S. Coast Guard in 1915. Active until after World War II. |
| Pauls Creek | rises in Virginia and flows S into Surry County, where it enters Stewarts Creek. Approx. 14 mi. long. |
| Pauls Gap | on the Haywood-Swain county line between Cataloochee Balsam and Sugar Tree Licks. Alt. approx. 5,100. |
| Paw Creek | rises in W Mecklenburg County and flows SW into Catawba River. |
| Paw Creek | community in W Mecklenburg County. Name of the railroad depot is Thrift. |
| Paw Creek Township | former township in W central Mecklenburg County, now township no. 12. |
| Paw Paw Ridge | NW Swain County in Great Smoky Mountains National Park, extends SW from Cherry Knob on Jenkins Trail Ridge, lat. 35°30'50" N., long. 83°44'52" W. |
| Pawpaw Creek | rises in S Madison County and flows NE into French Broad River. |