| Pounding Mill Branch | rises in N Transylvania County near Green Knob and flows SE into Looking Glass Creek. |
| Pounding Mill Branch | rises in N Transylvania County near Poundingstone Mountain and flows SE into South Fork Mills River. |
| Pounding Mill Branch | rises in S Watauga County and flows NE into Elk Creek. |
| Pounding Mill Cove | N Yancey County on Pounding Mill Creek. |
| Pounding Mill Creek | rises in N Yancey County and flows NW into Cane River. |
| Poundingmill Creek | rises in NE Cleveland County and flows S into Knob Creek. |
| Poundingstone Mountain | N Transylvania County between Pounding Mill Branch and Jumping Branch. Alt. approx. 3,450. |
| Pousville | community in N Franklin County. |
| Poverty Branch | rises in N Buncombe County and flows SW into North Fork Ivy Creek. |
| Powder Burnt Creek | rises in NE Cherokee County and flows NW into Valley River. |