| Prathers Creek | rises in SW Alleghany County and flows NW into South Fork New River. |
| Prathers Creek Township | W central Alleghany County. |
| Pratt | community in W Johnston County served by post office, 1884-1901. |
| Prattsburg | former community in central Durham County approx. 2 mi. E of the original railroad station for Durham. In the 1850s, William Pratt refused to give a right-of-way or land for a station at Prattsburg. The railroad avoided his property, and as a result, Durham was est. |
| Prentiss | community in S Macon County. |
| Prescott | community in S central Beaufort County. |
| Presley Branch | rises in N Transylvania County and flows SW into Avery Creek. |
| Presley Creek | rises in W Jackson County and flows NE into Tilley Creek. |
| Press Cove | N Jackson County on the head of East Fork [Dicks Creek]. |
| Press Prong | rises in W Nash County and flows SE into Murrays Mill Pond on Turkey Creek. |