RANKING · 2024 ACS · 175 SHOWN OF 175

Lowest fertility rate, North Carolina cities

North Carolina cities with the lowest 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.

Flip the list · Highest fertility rate, US cities →

North CarolinaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2010 2024

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

01Cullowhee, NCNC7,9730.0–

02Porters Neck, NCNC7,6540.0–

03St. James, NCNC7,3180.0–

04Oak Ridge, NCNC7,8960.0–

05Marvin, NCNC7,0400.0–

06Carolina Shores, NCNC5,5400.0–

07Whispering Pines, NCNC5,5050.0–

08Unionville, NCNC7,3222.5–

09Boone, NCNC19,9295.7–

10Brevard, NCNC8,0986.1–

11Midland, NCNC5,1517.1–

12Elon, NCNC11,3668.4–

13Chapel Hill, NCNC63,5659.4–

14Williamston, NCNC5,08610.8–

15Silver Lake, NCNC6,56312.4–

16Rolesville, NCNC12,83912.4–

17Davidson, NCNC16,66213.0–

18Sawmills, NCNC5,10514.9–

19Cherryville, NCNC6,52315.6–

20Waynesville, NCNC11,00616.8–

21Aberdeen, NCNC10,06618.1–

22Pleasant Garden, NCNC5,16518.5–

23Black Mountain, NCNC8,49119.1–

24Fletcher, NCNC8,37319.5–

25Pittsboro, NCNC5,05420.0–

26Smithfield, NCNC13,11420.5–

27Reidsville, NCNC14,69221.2–

28Clayton, NCNC32,63324.2–

29Archdale, NCNC12,25426.7–

30Wrightsboro, NCNC6,28726.9–

31Northchase, NCNC5,89627.1–

32Woodfin, NCNC8,22927.1–

33Thomasville, NCNC27,73327.7–

34Lewisville, NCNC14,42129.1–

35Hickory, NCNC45,97530.6–

36Wilmington, NCNC126,80930.7–

37Summerfield, NCNC11,32732.1–

38Mills River, NCNC7,50432.3–

39Dunn, NCNC8,81432.3–

40St. Stephens, NCNC9,45732.6–

41Leland, NCNC35,73133.3–

42Rocky Mount, NCNC55,12033.9–

43Greenville, NCNC96,44334.4–

44Carrboro, NCNC20,96234.6–

45Wesley Chapel, NCNC9,56634.9–

46Asheville, NCNC93,52335.0–

47Kings Grant, NCNC9,00335.4–

48Gibsonville, NCNC9,87635.5–

49Henderson, NCNC15,01335.8–

50Wilson, NCNC49,57236.6–

51Clemmons, NCNC22,80836.9–

52Cornelius, NCNC35,09437.1–

53Concord, NCNC114,59837.3–

54Indian Trail, NCNC44,30338.0–

55Angier, NCNC9,41038.0–

56Durham, NCNC305,56138.6–

57Lexington, NCNC20,23839.5–

58Long View, NCNC5,38739.9–

59Butner, NCNC8,11240.0–

60Salisbury, NCNC36,87940.9–

61Marion, NCNC7,44041.5–

62Greensboro, NCNC308,66741.6–

63Morrisville, NCNC32,46641.7–

64Stallings, NCNC17,76041.8–

65Locust, NCNC6,12042.0–

66Cary, NCNC183,58242.4–

67Wake Forest, NCNC58,14742.7–

68Cramerton, NCNC5,71343.7–

69Rockingham, NCNC8,81543.7–

70Mocksville, NCNC6,28244.1–

71Oak Island, NCNC9,33744.3–

72Surf City, NCNC5,14244.4–

73Wendell, NCNC19,68744.6–

74High Point, NCNC120,57144.6–

75Harrisburg, NCNC20,74245.1–

76Sanford, NCNC34,13845.7–

77Morehead City, NCNC10,43446.2–

78Holly Springs, NCNC50,28846.3–

79Mount Holly, NCNC19,03346.5–

80Wadesboro, NCNC5,03546.6–

81Winston-Salem, NCNC257,27147.3–

82Belmont, NCNC16,41547.7–

83Boiling Spring Lakes, NCNC6,87548.2–

84Myrtle Grove, NCNC12,63748.5–

85Raleigh, NCNC506,30648.6–

86Charlotte, NCNC964,78449.2–

87Kernersville, NCNC29,12849.6–

88Lake Norman of Iredell, NCNC12,49450.0–

89Matthews, NCNC32,76950.0–

90Hendersonville, NCNC15,86750.1–

91Clinton, NCNC8,46650.5–

92Huntersville, NCNC68,53551.2–

93Washington, NCNC9,91051.6–

94Winterville, NCNC10,97351.8–

95Murraysville, NCNC16,33953.2–

96New Bern, NCNC34,72453.6–

97Oxford, NCNC8,98554.0–

98Waxhaw, NCNC23,14054.3–

99Hope Mills, NCNC18,32455.0–

100Lumberton, NCNC18,95555.1–

101Burlington, NCNC61,49656.0–

102Bessemer City, NCNC5,83456.1–

103Walkertown, NCNC6,12056.5–

104Mebane, NCNC21,95256.6–

105Conover, NCNC8,93856.9–

106Elizabeth City, NCNC19,62257.0–

107Roxboro, NCNC8,38057.5–

108Weddington, NCNC14,51757.8–

109Eden, NCNC15,50058.2–

110Carolina Beach, NCNC6,87058.4–

111Lillington, NCNC5,04058.6–

112Kannapolis, NCNC61,70858.8–

113Shelby, NCNC23,30960.0–

114Zebulon, NCNC11,93360.3–

115Mooresville, NCNC55,84260.4–

116Goldsboro, NCNC35,01260.6–

117Hillsborough, NCNC9,77861.7–

118Anderson Creek, NCNC13,92761.9–

119Trinity, NCNC7,27462.8–

120Roanoke Rapids, NCNC14,38663.4–

121Pinehurst, NCNC18,67063.9–

122Spout Springs, NCNC11,24264.0–

123Hampstead, NCNC9,29264.4–

124Mint Hill, NCNC29,47664.5–

125Southern Pines, NCNC17,35764.9–

126Nashville, NCNC5,91165.0–

127Pineville, NCNC11,85165.2–

128Fayetteville, NCNC209,12066.3–

129Graham, NCNC20,13167.5–

130Apex, NCNC80,41967.6–

131Gastonia, NCNC87,06768.7–

132Etowah, NCNC7,96868.9–

133Laurinburg, NCNC14,58268.9–

134Westport, NCNC5,91569.0–

135Garner, NCNC41,56269.3–

136Morganton, NCNC17,84969.4–

137Fuquay-Varina, NCNC48,53671.2–

138Barbecue, NCNC5,91071.4–

139Creedmoor, NCNC5,04673.3–

140Monroe, NCNC42,64473.3–

141East Flat Rock, NCNC6,32375.0–

142Lenoir, NCNC18,37276.3–

143Jacksonville, NCNC72,73277.1–

144Lake Norman of Catawba, NCNC9,90678.0–

145Knightdale, NCNC23,14478.5–

146Kings Mountain, NCNC12,11778.7–

147Tarboro, NCNC10,97979.2–

148Kill Devil Hills, NCNC7,73179.8–

149Albemarle, NCNC17,76980.5–

150Havelock, NCNC17,43080.9–

151Half Moon, NCNC7,37882.0–

152Piney Green, NCNC14,07883.2–

153Statesville, NCNC32,18184.7–

154Mount Airy, NCNC10,68288.8–

155Asheboro, NCNC27,99090.5–

156Holly Ridge, NCNC5,90894.5–

157King, NCNC7,97795.6–

158Spring Lake, NCNC11,25298.8–

159Dallas, NCNC6,39299.7–

160Briar Chapel, NCNC6,049100.8–

161Lincolnton, NCNC12,465102.9–

162Newton, NCNC13,822106.7–

163Stokesdale, NCNC6,133109.8–

164Midway, NCNC5,104116.8–

165Swannanoa, NCNC6,901117.1–

166Selma, NCNC7,406119.7–

167Forest City, NCNC7,410119.7–

168Kinston, NCNC19,705124.7–

169Shallotte, NCNC5,335130.4–

170Ayden, NCNC5,263157.7–

171Siler City, NCNC8,155161.2–

172Moyock, NCNC5,684165.8–

173Hamlet, NCNC5,870213.7–

174Ogden, NCNC8,249221.4–

175Archer Lodge, NCNC5,649231.9–

SHOWING 1–175 OF 175

Download CSV (full list, 175 rows)

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