RANKING · 2024 ACS · 175 SHOWN OF 175

Highest fertility rate, North Carolina cities

North Carolina cities ranked by general fertility rate, meaning births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 175 cities in North Carolina that qualify, ranked against each other statewide. The median across all 175 is 50.0.

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SAME RANKING BYCounties States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2010

01Archer Lodge, NCNC5,649231.9+311%

02Ogden, NCNC8,249221.4+117%

03Hamlet, NCNC5,870213.7+208%

04Moyock, NCNC5,684165.8+138%

05Siler City, NCNC8,155161.2+295%

06Ayden, NCNC5,263157.7+125%

07Shallotte, NCNC5,335130.4+95%

08Kinston, NCNC19,705124.7+142%

09Forest City, NCNC7,410119.7+85%

10Selma, NCNC7,406119.7+87%

11Swannanoa, NCNC6,901117.1+280%

12Midway, NCNC5,104116.8+313%

13Stokesdale, NCNC6,133109.8+126%

14Newton, NCNC13,822106.7+45%

15Lincolnton, NCNC12,465102.9+97%

16Briar Chapel, NCNC6,049100.8–

17Dallas, NCNC6,39299.7+688%

18Spring Lake, NCNC11,25298.8−41%

19King, NCNC7,97795.6−25%

20Holly Ridge, NCNC5,90894.5+269%

21Asheboro, NCNC27,99090.5+87%

22Mount Airy, NCNC10,68288.8+69%

23Statesville, NCNC32,18184.7+22%

24Piney Green, NCNC14,07883.2−24%

25Half Moon, NCNC7,37882.0+11%

26Havelock, NCNC17,43080.9+15%

27Albemarle, NCNC17,76980.5−3%

28Kill Devil Hills, NCNC7,73179.8+35%

29Tarboro, NCNC10,97979.2+24%

30Kings Mountain, NCNC12,11778.7+73%

31Knightdale, NCNC23,14478.5−11%

32Lake Norman of Catawba, NCNC9,90678.0–

33Jacksonville, NCNC72,73277.1−14%

34Lenoir, NCNC18,37276.3+53%

35East Flat Rock, NCNC6,32375.0−27%

36Monroe, NCNC42,64473.3−23%

37Creedmoor, NCNC5,04673.3+63%

38Barbecue, NCNC5,91071.4–

39Fuquay-Varina, NCNC48,53671.2−6%

40Morganton, NCNC17,84969.4−4%

41Garner, NCNC41,56269.3+30%

42Westport, NCNC5,91569.0+377%

43Laurinburg, NCNC14,58268.9+17%

44Etowah, NCNC7,96868.9−34%

45Gastonia, NCNC87,06768.7+33%

46Apex, NCNC80,41967.6+19%

47Graham, NCNC20,13167.5−7%

48Fayetteville, NCNC209,12066.3−11%

49Pineville, NCNC11,85165.2−43%

50Nashville, NCNC5,91165.0+362%

51Southern Pines, NCNC17,35764.9+132%

52Mint Hill, NCNC29,47664.5+47%

53Hampstead, NCNC9,29264.4+135%

54Spout Springs, NCNC11,24264.0–

55Pinehurst, NCNC18,67063.9+226%

56Roanoke Rapids, NCNC14,38663.4−10%

57Trinity, NCNC7,27462.8+122%

58Anderson Creek, NCNC13,92761.9–

59Hillsborough, NCNC9,77861.7−33%

60Goldsboro, NCNC35,01260.6−15%

61Mooresville, NCNC55,84260.4+53%

62Zebulon, NCNC11,93360.3−42%

63Shelby, NCNC23,30960.0+17%

64Kannapolis, NCNC61,70858.8+19%

65Lillington, NCNC5,04058.60%

66Carolina Beach, NCNC6,87058.4+696%

67Eden, NCNC15,50058.2+63%

68Weddington, NCNC14,51757.8+187%

69Roxboro, NCNC8,38057.5−41%

70Elizabeth City, NCNC19,62257.0+19%

71Conover, NCNC8,93856.9+36%

72Mebane, NCNC21,95256.6+49%

73Walkertown, NCNC6,12056.5−31%

74Bessemer City, NCNC5,83456.1+171%

75Burlington, NCNC61,49656.0−4%

76Lumberton, NCNC18,95555.1−46%

77Hope Mills, NCNC18,32455.0−12%

78Waxhaw, NCNC23,14054.3+27%

79Oxford, NCNC8,98554.0+181%

80New Bern, NCNC34,72453.6−27%

81Murraysville, NCNC16,33953.2+10%

82Winterville, NCNC10,97351.8−15%

83Washington, NCNC9,91051.6−38%

84Huntersville, NCNC68,53551.2−3%

85Clinton, NCNC8,46650.5−11%

86Hendersonville, NCNC15,86750.1−52%

87Matthews, NCNC32,76950.0+20%

88Lake Norman of Iredell, NCNC12,49450.0−23%

89Kernersville, NCNC29,12849.6+55%

90Charlotte, NCNC964,78449.2−16%

91Raleigh, NCNC506,30648.6−13%

92Myrtle Grove, NCNC12,63748.5−24%

93Boiling Spring Lakes, NCNC6,87548.2+47%

94Belmont, NCNC16,41547.7−33%

95Winston-Salem, NCNC257,27147.3−17%

96Wadesboro, NCNC5,03546.6−11%

97Mount Holly, NCNC19,03346.5−21%

98Holly Springs, NCNC50,28846.3−23%

99Morehead City, NCNC10,43446.2−63%

100Sanford, NCNC34,13845.7−41%

101Harrisburg, NCNC20,74245.1−5%

102High Point, NCNC120,57144.6−24%

103Wendell, NCNC19,68744.6−35%

104Surf City, NCNC5,14244.4+23%

105Oak Island, NCNC9,33744.3+38%

106Mocksville, NCNC6,28244.1+109%

107Rockingham, NCNC8,81543.7+1%

108Cramerton, NCNC5,71343.7−56%

109Wake Forest, NCNC58,14742.7−24%

110Cary, NCNC183,58242.4−24%

111Locust, NCNC6,12042.0+22%

112Stallings, NCNC17,76041.8−28%

113Morrisville, NCNC32,46641.7−19%

114Greensboro, NCNC308,66741.6−18%

115Marion, NCNC7,44041.5+28%

116Salisbury, NCNC36,87940.9−26%

117Butner, NCNC8,11240.0+10%

118Long View, NCNC5,38739.9−62%

119Lexington, NCNC20,23839.5+40%

120Durham, NCNC305,56138.6−46%

121Angier, NCNC9,41038.0+168%

122Indian Trail, NCNC44,30338.0−50%

123Concord, NCNC114,59837.3−39%

124Cornelius, NCNC35,09437.1+12%

125Clemmons, NCNC22,80836.9+1%

126Wilson, NCNC49,57236.6−33%

127Henderson, NCNC15,01335.8−9%

128Gibsonville, NCNC9,87635.5−44%

129Kings Grant, NCNC9,00335.4−50%

130Asheville, NCNC93,52335.0−45%

131Wesley Chapel, NCNC9,56634.9−36%

132Carrboro, NCNC20,96234.6+8%

133Greenville, NCNC96,44334.4+10%

134Rocky Mount, NCNC55,12033.9−42%

135Leland, NCNC35,73133.3−43%

136St. Stephens, NCNC9,45732.6+26%

137Dunn, NCNC8,81432.3−47%

138Mills River, NCNC7,50432.3−29%

139Summerfield, NCNC11,32732.1−61%

140Wilmington, NCNC126,80930.7−38%

141Hickory, NCNC45,97530.6−24%

142Lewisville, NCNC14,42129.1−66%

143Thomasville, NCNC27,73327.7−58%

144Woodfin, NCNC8,22927.1−50%

145Northchase, NCNC5,89627.1−73%

146Wrightsboro, NCNC6,28726.9+49%

147Archdale, NCNC12,25426.7−36%

148Clayton, NCNC32,63324.2−58%

149Reidsville, NCNC14,69221.2−73%

150Smithfield, NCNC13,11420.5−62%

151Pittsboro, NCNC5,05420.0−32%

152Fletcher, NCNC8,37319.5−69%

153Black Mountain, NCNC8,49119.1−70%

154Pleasant Garden, NCNC5,16518.5−76%

155Aberdeen, NCNC10,06618.1−76%

156Waynesville, NCNC11,00616.8−78%

157Cherryville, NCNC6,52315.6−64%

158Sawmills, NCNC5,10514.9−86%

159Davidson, NCNC16,66213.0−32%

160Rolesville, NCNC12,83912.4−91%

161Silver Lake, NCNC6,56312.4−66%

162Williamston, NCNC5,08610.8−75%

163Chapel Hill, NCNC63,5659.4−60%

164Elon, NCNC11,3668.4−20%

165Midland, NCNC5,1517.1−95%

166Brevard, NCNC8,0986.1−62%

167Boone, NCNC19,9295.7−72%

168Unionville, NCNC7,3222.5−92%

169Cullowhee, NCNC7,9730.0–

170Porters Neck, NCNC7,6540.0−100%

171St. James, NCNC7,3180.0–

172Oak Ridge, NCNC7,8960.0−100%

173Marvin, NCNC7,0400.0−100%

174Carolina Shores, NCNC5,5400.0−100%

175Whispering Pines, NCNC5,5050.0−100%

SHOWING 1–175 OF 175

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES