Middlesex is a town in Nash County, North Carolina, home to about 867 people across 1.1 square miles. It has no ZIP code of its own: it’s part of 27557.
Homes sold for a median of $188 per square foot in the three months ending August 2026, a balanced market.
Population867826 per sq mi
Median home value$216,900Census, as estimated by owners
Price per sq ft$188Sold homes, 3 months to August 2026
Each card is that ZIP code’s whole market, including any part outside Middlesex. Seller’s market: under 4 months of supply; buyer’s market: over 6. Methodology
The Middlesex guide is on the way
We’re writing up Middlesex’s story and what everyday life there is like, for people thinking about moving in.
History
What it’s like to live there
Getting around
Things to do
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Around Middlesex
Distances
Nearest major airport
Raleigh-Durham International Airport (RDU)33 miles away
Nearest city of 250,000+
Raleigh, NC25 miles away
Nearest city of 1 million+
Philadelphia, PA337 miles away
Straight-line distances from the center of Middlesex; driving is longer.
Source: Airports from OurAirports (scheduled passenger service); city centers and populations from the U.S. Census Bureau.
Who represents Middlesex
U.S. Representative · North Carolina’s 1st DistrictDonald G. Davis (D)
U.S. Representative · North Carolina’s 13th DistrictBrad Knott (R)
Source: Members of Congress from the congress-legislators project; districts from the Census Bureau’s relationship files; governor and mayor from Wikidata.
Population over time
Middlesex had 912 residents in the 2020 census, up 9% since 2000.
It’s the 491st largest of 771 towns in North Carolina by population.
Nash County grew from 25,478 residents in 1900 to 94,970 in 2020.
Nash County, 1900–2020
Source: U.S. Census Bureau decennial censuses (counties 1900–1990 from the Bureau’s historical county file).
Weather by month
Average highs peak around 90°F in summer, and winter lows average 31°F. About 49.8 inches of rain and melted snow fall in a typical year.
Source: NOAA 1991–2020 climate normals, Clayton 3e, NC weather station (14 miles away).
Jobs in Nash County
38,350 jobs at 2,114 businesses in Nash County. The biggest industries by employees:
Source: U.S. Census Bureau County Business Patterns 2023 (private employers; jobs counted where people work).
Health care
14 doctors and other health care providers list an office in Middlesex.
Nearest hospitals
Wilson Medical CenterGeneral hospital · emergency room · CMS rating 1 of 5 · Wilson15.1 miles
Johnston HealthGeneral hospital · emergency room · CMS rating 4 of 5 · Smithfield19.6 miles
Wakemed, Raleigh CampusGeneral hospital · emergency room · CMS rating 4 of 5 · Raleigh21.5 miles
Providers with an office here
Primary care doctors
3
Specialist doctors
2
Dentists
2
Mental health providers
7
Pharmacies
1
Source: Hospitals from CMS Hospital General Information (ratings are CMS overall star ratings); straight-line distances; providers from the CMS National Plan and Provider Enumeration System (NPPES), by practice address and primary specialty.
Places in and around Middlesex
Grocery stores
Piggly Wiggly4.9 mi
Libraries
Middlesex Public Library1.5 mi
Museums
Country Doctor Museum4.8 mi
Country Doctor Museum4.8 mi
The Country Doctor Museum4.8 mi
Counts are within about 1 mile of the center of town.
Public schools here are run by Nash County Public Schools. Check each district’s attendance zones for a specific address.
Public schools(1)
School
Grades
Students
Type
Distance
Middlesex ElementaryMiddlesex
Pre-K–5
333
Public
1.4 mi
Source: U.S. Department of Education, NCES: Common Core of Data (2024-2025) for public schools. Listed by address; we don’t rate schools.
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Town boundaries don’t always match ZIP codes: a ZIP code can cross into neighboring towns, and a town can share a ZIP code with its neighbors. Facts describe the town itself; market figures describe whole ZIP codes.