Town guide

Middlesex, North Carolina

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
Sold over asking33%Latest 3 months

ZIP codes in Middlesex

1 ZIP code, 1 shared with neighboring towns

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

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Around Middlesex

Distances

Nearest major airportRaleigh-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

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.

Middlesex population by census2000: 838, 2010: 822, 2020: 912838200082220109122020

Nash County, 1900–2020

Nash County population, 1900 to 20201900: 25,478, 1910: 33,727, 1920: 41,061, 1930: 52,782, 1940: 55,608, 1950: 59,919, 1960: 61,002, 1970: 59,122, 1980: 67,153, 1990: 76,677, 2000: 87,420, 2010: 95,840, 2020: 94,97025K’00’1041K’20’3056K’40’5061K’60’7067K’80’9087K’00’1095K’20

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.

Average high and low temperature and precipitation by month near MiddlesexJan: high 53°F, low 31°F, 3.7 in; Feb: high 56°F, low 31°F, 3.1 in; Mar: high 64°F, low 38°F, 4.1 in; Apr: high 73°F, low 47°F, 3.4 in; May: high 80°F, low 56°F, 3.8 in; Jun: high 87°F, low 65°F, 4.1 in; Jul: high 90°F, low 70°F, 5.9 in; Aug: high 88°F, low 68°F, 4.4 in; Sep: high 82°F, low 63°F, 6.4 in; Oct: high 72°F, low 50°F, 3.8 in; Nov: high 63°F, low 39°F, 3.4 in; Dec: high 56°F, low 34°F, 3.7 in53°31°Jan3.756°31°Feb3.164°38°Mar4.173°47°Apr3.480°56°May3.887°65°Jun4.190°70°Jul5.988°68°Aug4.482°63°Sep6.472°50°Oct3.863°39°Nov3.456°34°Dec3.7Rain and melted snow, inches

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:

Largest industries in Nash CountyManufacturing: 9,599 jobs; Health care and social assistance: 5,680 jobs; Retail trade: 5,079 jobs; Hotels and restaurants: 4,288 jobs; Wholesale trade: 2,652 jobs; Construction: 2,326 jobs; Administrative and support: 2,006 jobs; Finance and insurance: 1,590 jobsManufacturing 25% Health care and social assistance 15% Retail trade 13% Hotels and restaurants 11% Wholesale trade 7% Construction 6% Administrative and support 5% Finance and insurance 4%

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 doctors3
Specialist doctors2
Dentists2
Mental health providers7
Pharmacies1

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.

Source: Map data © OpenStreetMap contributors (openstreetmap.org/copyright), as mapped by volunteers; it can miss places or include closed ones.

Schools in Middlesex

Public schools here are run by Nash County Public Schools. Check each district’s attendance zones for a specific address.

Public schools (1)
SchoolGradesStudentsTypeDistance
Middlesex ElementaryMiddlesexPre-K–5333Public1.4 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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Where Middlesex is

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Towns near Middlesex

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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.