RANKING · 2010 CENSUS · 170 SHOWN OF 170

Highest fertility rate, North Carolina cities · 2010

North Carolina cities ranked by general fertility rate, meaning births per 1,000 women ages 15-50 in the past 12 months (2010 ACS). This list covers the 170 cities in North Carolina that qualify, ranked against each other statewide. The median across all 170 is 56.6.

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SAME RANKING BYCounties States Metros ZIP codes

YEAR2010 2024

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

01Spring Lake, NCNC11,252166.5–

02Rolesville, NCNC12,839144.9–

03Midland, NCNC5,151136.5–

04King, NCNC7,977126.7–

05Morehead City, NCNC10,434124.3–

06Pineville, NCNC11,851114.4–

07Sawmills, NCNC5,105109.4–

08Piney Green, NCNC14,078108.8–

09Long View, NCNC5,387104.5–

10Zebulon, NCNC11,933104.1–

11Etowah, NCNC7,968103.9–

12Hendersonville, NCNC15,867103.8–

13East Flat Rock, NCNC6,323102.3–

14Ogden, NCNC8,249102.3–

15Lumberton, NCNC18,955101.7–

16Northchase, NCNC5,896101.0–

17Whispering Pines, NCNC5,505100.2–

18Cramerton, NCNC5,71398.9–

19Roxboro, NCNC8,38097.8–

20Monroe, NCNC42,64495.3–

21Hillsborough, NCNC9,77892.6–

22Jacksonville, NCNC72,73289.3–

23Knightdale, NCNC23,14488.4–

24Lewisville, NCNC14,42185.7–

25Summerfield, NCNC11,32783.3–

26Washington, NCNC9,91083.1–

27Albemarle, NCNC17,76982.6–

28Walkertown, NCNC6,12082.5–

29Reidsville, NCNC14,69277.7–

30Sanford, NCNC34,13877.6–

31Pleasant Garden, NCNC5,16577.5–

32Waynesville, NCNC11,00676.1–

33Fuquay-Varina, NCNC48,53675.6–

34Indian Trail, NCNC44,30375.4–

35Oak Ridge, NCNC7,89675.0–

36Aberdeen, NCNC10,06674.9–

37Fayetteville, NCNC209,12074.8–

38Half Moon, NCNC7,37873.8–

39New Bern, NCNC34,72473.7–

40Newton, NCNC13,82273.5–

41Morganton, NCNC17,84972.6–

42Graham, NCNC20,13172.2–

43Durham, NCNC305,56172.0–

44Belmont, NCNC16,41571.5–

45Goldsboro, NCNC35,01271.3–

46Kings Grant, NCNC9,00371.1–

47Roanoke Rapids, NCNC14,38670.5–

48Havelock, NCNC17,43070.4–

49Ayden, NCNC5,26370.0–

50Moyock, NCNC5,68469.7–

51Statesville, NCNC32,18169.4–

52Hamlet, NCNC5,87069.4–

53Wendell, NCNC19,68768.8–

54Shallotte, NCNC5,33567.0–

55Thomasville, NCNC27,73366.6–

56Marvin, NCNC7,04066.1–

57Forest City, NCNC7,41064.6–

58Lake Norman of Iredell, NCNC12,49464.6–

59Myrtle Grove, NCNC12,63764.1–

60Tarboro, NCNC10,97964.1–

61Selma, NCNC7,40664.1–

62Black Mountain, NCNC8,49163.8–

63Fletcher, NCNC8,37363.6–

64Gibsonville, NCNC9,87663.6–

65Asheville, NCNC93,52363.5–

66Hope Mills, NCNC18,32462.6–

67Concord, NCNC114,59861.3–

68Porters Neck, NCNC7,65461.2–

69Winterville, NCNC10,97361.1–

70Holly Springs, NCNC50,28860.5–

71Dunn, NCNC8,81460.4–

72Laurinburg, NCNC14,58259.0–

73Kill Devil Hills, NCNC7,73159.0–

74Mount Holly, NCNC19,03359.0–

75Lillington, NCNC5,04058.7–

76High Point, NCNC120,57158.5–

77Charlotte, NCNC964,78458.5–

78Leland, NCNC35,73158.3–

79Rocky Mount, NCNC55,12058.2–

80Burlington, NCNC61,49658.1–

81Stallings, NCNC17,76058.0–

82Clayton, NCNC32,63357.2–

83Winston-Salem, NCNC257,27157.1–

84Clinton, NCNC8,46656.9–

85Apex, NCNC80,41956.6–

86Archer Lodge, NCNC5,64956.5–

87Raleigh, NCNC506,30656.0–

88Wake Forest, NCNC58,14755.9–

89Cary, NCNC183,58255.8–

90Salisbury, NCNC36,87955.6–

91Wilson, NCNC49,57254.6–

92Wesley Chapel, NCNC9,56654.3–

93Woodfin, NCNC8,22954.2–

94Smithfield, NCNC13,11453.6–

95Garner, NCNC41,56253.2–

96Huntersville, NCNC68,53553.0–

97Mount Airy, NCNC10,68252.6–

98Wadesboro, NCNC5,03552.4–

99Lincolnton, NCNC12,46552.1–

100Gastonia, NCNC87,06751.8–

101Kinston, NCNC19,70551.6–

102Morrisville, NCNC32,46651.4–

103Shelby, NCNC23,30951.3–

104Greensboro, NCNC308,66750.8–

105Lenoir, NCNC18,37249.7–

106Wilmington, NCNC126,80949.7–

107Kannapolis, NCNC61,70849.5–

108Stokesdale, NCNC6,13348.7–

109Murraysville, NCNC16,33948.6–

110Asheboro, NCNC27,99048.4–

111Elizabeth City, NCNC19,62248.1–

112Harrisburg, NCNC20,74247.7–

113Kings Mountain, NCNC12,11745.5–

114Mills River, NCNC7,50445.5–

115Creedmoor, NCNC5,04645.1–

116Mint Hill, NCNC29,47644.0–

117Williamston, NCNC5,08643.8–

118Cherryville, NCNC6,52343.3–

119Rockingham, NCNC8,81543.2–

120Waxhaw, NCNC23,14042.9–

121Conover, NCNC8,93841.9–

122Archdale, NCNC12,25441.7–

123Matthews, NCNC32,76941.5–

124Siler City, NCNC8,15540.8–

125Hickory, NCNC45,97540.4–

126Mooresville, NCNC55,84239.5–

127Henderson, NCNC15,01339.4–

128Mebane, NCNC21,95238.0–

129Silver Lake, NCNC6,56336.7–

130Clemmons, NCNC22,80836.7–

131Butner, NCNC8,11236.4–

132Surf City, NCNC5,14236.2–

133Eden, NCNC15,50035.6–

134Locust, NCNC6,12034.4–

135Cornelius, NCNC35,09433.0–

136Boiling Spring Lakes, NCNC6,87532.8–

137Marion, NCNC7,44032.5–

138Unionville, NCNC7,32232.2–

139Oak Island, NCNC9,33732.2–

140Carrboro, NCNC20,96232.1–

141Kernersville, NCNC29,12831.9–

142Greenville, NCNC96,44331.2–

143Swannanoa, NCNC6,90130.8–

144Pittsboro, NCNC5,05429.3–

145Trinity, NCNC7,27428.3–

146Midway, NCNC5,10428.3–

147Lexington, NCNC20,23828.2–

148Southern Pines, NCNC17,35728.0–

149Hampstead, NCNC9,29227.3–

150St. Stephens, NCNC9,45725.9–

151Holly Ridge, NCNC5,90825.6–

152Chapel Hill, NCNC63,56523.3–

153Mocksville, NCNC6,28221.1–

154Bessemer City, NCNC5,83420.7–

155Boone, NCNC19,92920.4–

156Weddington, NCNC14,51720.1–

157Pinehurst, NCNC18,67019.6–

158Oxford, NCNC8,98519.2–

159Davidson, NCNC16,66219.1–

160Wrightsboro, NCNC6,28718.1–

161Brevard, NCNC8,09816.0–

162Westport, NCNC5,91514.5–

163Angier, NCNC9,41014.2–

164Nashville, NCNC5,91114.1–

165Dallas, NCNC6,39212.6–

166Carolina Shores, NCNC5,54011.7–

167Elon, NCNC11,36610.5–

168Carolina Beach, NCNC6,8707.3–

169Cullowhee, NCNC7,9730.0–

170St. James, NCNC7,3180.0–

SHOWING 1–170 OF 170

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU DECENNIAL CENSUS