RANKING · 2024 ACS · 175 SHOWN OF 175

Highest fertility rate, North Carolina cities

North Carolina cities ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). This list covers the 175 cities in North Carolina that qualify, ranked against each other statewide.

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SAME RANKING BYCounties States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000

01Archer Lodge, NCNC5,649231.9–

02Ogden, NCNC8,249221.4–

03Hamlet, NCNC5,870213.7–

04Moyock, NCNC5,684165.8–

05Siler City, NCNC8,155161.2–

06Ayden, NCNC5,263157.7–

07Shallotte, NCNC5,335130.4–

08Kinston, NCNC19,705124.7–

09Forest City, NCNC7,410119.7–

10Selma, NCNC7,406119.7–

11Swannanoa, NCNC6,901117.1–

12Midway, NCNC5,104116.8–

13Stokesdale, NCNC6,133109.8–

14Newton, NCNC13,822106.7–

15Lincolnton, NCNC12,465102.9–

16Briar Chapel, NCNC6,049100.8–

17Dallas, NCNC6,39299.7–

18Spring Lake, NCNC11,25298.8–

19King, NCNC7,97795.6–

20Holly Ridge, NCNC5,90894.5–

21Asheboro, NCNC27,99090.5–

22Mount Airy, NCNC10,68288.8–

23Statesville, NCNC32,18184.7–

24Piney Green, NCNC14,07883.2–

25Half Moon, NCNC7,37882.0–

26Havelock, NCNC17,43080.9–

27Albemarle, NCNC17,76980.5–

28Kill Devil Hills, NCNC7,73179.8–

29Tarboro, NCNC10,97979.2–

30Kings Mountain, NCNC12,11778.7–

31Knightdale, NCNC23,14478.5–

32Lake Norman of Catawba, NCNC9,90678.0–

33Jacksonville, NCNC72,73277.1–

34Lenoir, NCNC18,37276.3–

35East Flat Rock, NCNC6,32375.0–

36Monroe, NCNC42,64473.3–

37Creedmoor, NCNC5,04673.3–

38Barbecue, NCNC5,91071.4–

39Fuquay-Varina, NCNC48,53671.2–

40Morganton, NCNC17,84969.4–

41Garner, NCNC41,56269.3–

42Westport, NCNC5,91569.0–

43Laurinburg, NCNC14,58268.9–

44Etowah, NCNC7,96868.9–

45Gastonia, NCNC87,06768.7–

46Apex, NCNC80,41967.6–

47Graham, NCNC20,13167.5–

48Fayetteville, NCNC209,12066.3–

49Pineville, NCNC11,85165.2–

50Nashville, NCNC5,91165.0–

51Southern Pines, NCNC17,35764.9–

52Mint Hill, NCNC29,47664.5–

53Hampstead, NCNC9,29264.4–

54Spout Springs, NCNC11,24264.0–

55Pinehurst, NCNC18,67063.9–

56Roanoke Rapids, NCNC14,38663.4–

57Trinity, NCNC7,27462.8–

58Anderson Creek, NCNC13,92761.9–

59Hillsborough, NCNC9,77861.7–

60Goldsboro, NCNC35,01260.6–

61Mooresville, NCNC55,84260.4–

62Zebulon, NCNC11,93360.3–

63Shelby, NCNC23,30960.0–

64Kannapolis, NCNC61,70858.8–

65Lillington, NCNC5,04058.6–

66Carolina Beach, NCNC6,87058.4–

67Eden, NCNC15,50058.2–

68Weddington, NCNC14,51757.8–

69Roxboro, NCNC8,38057.5–

70Elizabeth City, NCNC19,62257.0–

71Conover, NCNC8,93856.9–

72Mebane, NCNC21,95256.6–

73Walkertown, NCNC6,12056.5–

74Bessemer City, NCNC5,83456.1–

75Burlington, NCNC61,49656.0–

76Lumberton, NCNC18,95555.1–

77Hope Mills, NCNC18,32455.0–

78Waxhaw, NCNC23,14054.3–

79Oxford, NCNC8,98554.0–

80New Bern, NCNC34,72453.6–

81Murraysville, NCNC16,33953.2–

82Winterville, NCNC10,97351.8–

83Washington, NCNC9,91051.6–

84Huntersville, NCNC68,53551.2–

85Clinton, NCNC8,46650.5–

86Hendersonville, NCNC15,86750.1–

87Matthews, NCNC32,76950.0–

88Lake Norman of Iredell, NCNC12,49450.0–

89Kernersville, NCNC29,12849.6–

90Charlotte, NCNC964,78449.2–

91Raleigh, NCNC506,30648.6–

92Myrtle Grove, NCNC12,63748.5–

93Boiling Spring Lakes, NCNC6,87548.2–

94Belmont, NCNC16,41547.7–

95Winston-Salem, NCNC257,27147.3–

96Wadesboro, NCNC5,03546.6–

97Mount Holly, NCNC19,03346.5–

98Holly Springs, NCNC50,28846.3–

99Morehead City, NCNC10,43446.2–

100Sanford, NCNC34,13845.7–

101Harrisburg, NCNC20,74245.1–

102High Point, NCNC120,57144.6–

103Wendell, NCNC19,68744.6–

104Surf City, NCNC5,14244.4–

105Oak Island, NCNC9,33744.3–

106Mocksville, NCNC6,28244.1–

107Rockingham, NCNC8,81543.7–

108Cramerton, NCNC5,71343.7–

109Wake Forest, NCNC58,14742.7–

110Cary, NCNC183,58242.4–

111Locust, NCNC6,12042.0–

112Stallings, NCNC17,76041.8–

113Morrisville, NCNC32,46641.7–

114Greensboro, NCNC308,66741.6–

115Marion, NCNC7,44041.5–

116Salisbury, NCNC36,87940.9–

117Butner, NCNC8,11240.0–

118Long View, NCNC5,38739.9–

119Lexington, NCNC20,23839.5–

120Durham, NCNC305,56138.6–

121Angier, NCNC9,41038.0–

122Indian Trail, NCNC44,30338.0–

123Concord, NCNC114,59837.3–

124Cornelius, NCNC35,09437.1–

125Clemmons, NCNC22,80836.9–

126Wilson, NCNC49,57236.6–

127Henderson, NCNC15,01335.8–

128Gibsonville, NCNC9,87635.5–

129Kings Grant, NCNC9,00335.4–

130Asheville, NCNC93,52335.0–

131Wesley Chapel, NCNC9,56634.9–

132Carrboro, NCNC20,96234.6–

133Greenville, NCNC96,44334.4–

134Rocky Mount, NCNC55,12033.9–

135Leland, NCNC35,73133.3–

136St. Stephens, NCNC9,45732.6–

137Dunn, NCNC8,81432.3–

138Mills River, NCNC7,50432.3–

139Summerfield, NCNC11,32732.1–

140Wilmington, NCNC126,80930.7–

141Hickory, NCNC45,97530.6–

142Lewisville, NCNC14,42129.1–

143Thomasville, NCNC27,73327.7–

144Woodfin, NCNC8,22927.1–

145Northchase, NCNC5,89627.1–

146Wrightsboro, NCNC6,28726.9–

147Archdale, NCNC12,25426.7–

148Clayton, NCNC32,63324.2–

149Reidsville, NCNC14,69221.2–

150Smithfield, NCNC13,11420.5–

151Pittsboro, NCNC5,05420.0–

152Fletcher, NCNC8,37319.5–

153Black Mountain, NCNC8,49119.1–

154Pleasant Garden, NCNC5,16518.5–

155Aberdeen, NCNC10,06618.1–

156Waynesville, NCNC11,00616.8–

157Cherryville, NCNC6,52315.6–

158Sawmills, NCNC5,10514.9–

159Davidson, NCNC16,66213.0–

160Rolesville, NCNC12,83912.4–

161Silver Lake, NCNC6,56312.4–

162Williamston, NCNC5,08610.8–

163Chapel Hill, NCNC63,5659.4–

164Elon, NCNC11,3668.4–

165Midland, NCNC5,1517.1–

166Brevard, NCNC8,0986.1–

167Boone, NCNC19,9295.7–

168Unionville, NCNC7,3222.5–

169Cullowhee, NCNC7,9730.0–

170Porters Neck, NCNC7,6540.0–

171St. James, NCNC7,3180.0–

172Marvin, NCNC7,0400.0–

173Oak Ridge, NCNC7,8960.0–

174Carolina Shores, NCNC5,5400.0–

175Whispering Pines, NCNC5,5050.0–

SHOWING 1–175 OF 175

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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES