| Pat Stable Ridge | SW Macon County between Kimsey Bald and Pat Stable Branch. |
| Patchet Creek | rises in E Lee County and flows S into Little River. |
| Pate Creek | rises in NW Mitchell County and flows S into Pigeonroost Creek. |
| Pate Store | community in E Wayne County S of the community of Cherry and N of The Slough. |
| Pates | community in W Robeson County. Inc. 1883, but long inactive in municipal affairs. Named for Ed Pate, a railroad employee. |
| Patetown | town in E Wayne County near The Slough. Inc. 1907, but no longer active in municipal affairs. Named for the Pate family living in the area. |
| Patrick | community in W Cherokee County near Camp Creek. |
| Patsy Creek | rises in NW Yancey County and flows SE into Roaring Fork. |
| Patterson | town in central Caldwell County. Founded in 1851 as the site of a textile mill. Inc. 1905, but long inactive in municipal affairs. Named for Samuel Finley Patterson (1799-1874), local resident and state official. Alt. 1,253. Patterson School operated there since 1909. |
| Patterson Branch | rises in NE Cherokee County and flows NW into Junaluska Creek. |