| Pawpaw Creek | rises in NW Rockingham County and flows SW into Mayo River. |
| Pawpaw Creek | rises in NW Swain County and flows SW into Eagle Creek. |
| Paxton Creek | rises in central McDowell County and flows SE approx. 2 mi. into Clear Creek. Formerly known as Poplar Cove Creek. |
| Paxton Creek | rises in S Transylvania County and flows NE into French Broad River. |
| Payne Branch | rises in NW Swain County and flows SE into Fontana Lake. |
| Payne Branch | rises in S Watauga County and flows NE into Middle Fork [South Fork New River]. |
| Payne Mountain | SW Cherokee County, extends NE from Wolf Pen Gap to Harris Top. |
| Paynes Branch | rises in SW Clay County and flows NE into Brasstown Creek. |
| Paynes Knob | central Buncombe County NE of Rocky Knob. |
| Paynes Store | community in SE Alexander County. |