Identifiers: city · town
| Rank | Community | Population |
|---|---|---|
| 1 | Rocky Mount (city), NC | 54,341 |
| 2 | Wilson (city), NC | 47,851 |
| 3 | Zebulon (town), NC | 6,903 |
| 4 | Nashville (town), NC | 5,632 |
| 5 | Farmville (town), NC | 4,461 |
| 6 | Sharpsburg (town), NC | 1,697 |
| 7 | Kenly (town), NC | 1,491 |
| 8 | Spring Hope (town), NC | 1,309 |
| 9 | Elm City (town), NC | 1,218 |
| 10 | Pinetops (town), NC | 1,200 |
| 11 | Fremont (town), NC | 1,196 |
| 12 | Dortches (town), NC | 1,082 |
| 13 | Lucama (town), NC | 1,036 |
| 14 | Middlesex (town), NC | 912 |
| 15 | Stantonsburg (town), NC | 762 |
| 16 | Pikeville (town), NC | 712 |
| 17 | Black Creek (town), NC | 692 |
| 18 | Bailey (town), NC | 568 |
| 19 | Micro (town), NC | 458 |
| 20 | Macclesfield (town), NC | 413 |