| American Tire Distributors, INC. | Huntersville, NC | $305M | 5,761 | 2025 |
| Charlotte Pipe And Foundry Company | Charlotte, NC | $58M | — | 2023 |
| Ecep, Ii P.A. | Wilmington, NC | $39M | 67 | 2023 |
| Invue Security Products, INC. | Charlotte, NC | $33M | 245 | 2025 |
| Internetwork Engineering, INC | Charlotte, NC | $25M | 164 | 2024 |
| Hughes Pittman & Gupton, LLP | Raleigh, NC | $23M | 129 | 2024 |
| Cb Richard Ellis-raleigh LLC | Raleigh, NC | $23M | 149 | 2024 |
| Associated Urologists Of North Carolina, P.A. | Raleigh, NC | $22M | 144 | 2025 |
| A C Controls Company, INC. | Concord, NC | $22M | 90 | 2024 |
| Snyder Paper Corporation | Hickory, NC | $21M | 285 | 2025 |
| The Forestland Group, LLC | Chapel Hill, NC | $20M | 37 | 2023 |
| Verona Pharma, INC | Raleigh, NC | $20M | 211 | 2025 |
| Delaney Radiologists, P.A. | Wilmington, NC | $20M | 58 | 2024 |
| Swift Air, LLC DBA Iaero Airways | Greensboro, NC | $19M | — | 2024 |
| John K. Mcgilll & Company, INC | Charlotte, NC | $18M | 8 | 2025 |
| G1 Therapeutics, INC | Research Triangle Park, NC | $18M | 180 | 2024 |
| Womble Bond Dickinson (us), LLP | Winston-salem, NC | $15M | 190 | 2024 |
| Womble Bond Dickinson (us), LLP | Winston-salem, NC | $15M | 190 | 2024 |
| Wyndham Capital Mortgage, INC | Charlotte, NC | $15M | — | 2023 |
| Diagnostic Imaging Associates, A.m.c. C/o Msn Healthcare Solutions | Asheville, NC | $15M | 8 | 2025 |
| C.r.t.s., INC. | Garner, NC | $14M | 153 | 2024 |
| Epsilon, INC. | Weaverville, NC | $14M | 496 | 2025 |
| Carolina Anesthesiology PA | High Point, NC | $13M | 39 | 2026 |
| Ramey Kemp & Associates, INC. | Raleigh, NC | $13M | 91 | 2024 |
| Salvin Dental Specialties, INC. | Charlotte, NC | $12M | 77 | 2024 |
| Wilson Ob-gyn, P.A. | Wilson, NC | $11M | 40 | 2024 |
| Fdh Infrastructure Services, LLC | Raleigh, NC | $11M | 189 | 2025 |
| Coleman, Huntoon, & Brown, PLLC | Chapel Hill, NC | $10M | 26 | 2024 |
| Faulkner/haynes & Associates, INC. | Raleigh, NC | $10M | 64 | 2024 |
| Raleigh Infectious Diseases Associates | Raleigh, NC | $9.9M | 31 | 2023 |
| E.j. Pope & Son, INC. | Mount Olive, NC | $9.6M | 161 | 2025 |
| Infocenter.io Corporation | Charlotte, NC | $9.3M | 209 | 2024 |
| Ronald Riefkohl, MD, PA | Durham, NC | $9.0M | 6 | 2025 |
| Noble Oil Services INC | Sanford, NC | $8.4M | 214 | 2024 |
| Monica M. Pierpan, D.D.S., P.A. | Hampstead, NC | $8.3M | 32 | 2026 |
| Greensboro Oral, Implant And Facial Cosmetic Surgery Center | Greensboro, NC | $8.2M | 16 | 2024 |
| Methodist Home For Children, INC. | Raleigh, NC | $7.8M | 326 | 2024 |
| Sylva Family Practice, P.A. | Sylva, NC | $7.7M | 13 | 2025 |
| Carolinas Investment Consulting, L.L.C. | Charlotte, NC | $7.7M | 25 | 2025 |
| Triangle Systems, INC. | Chapel Hill, NC | $7.7M | 5 | 2025 |
| Mart Enterprises, INC. | Pittsboro, NC | $7.5M | 26 | 2024 |
| Alpek Polyester Mississippi, INC. | Charlotte, NC | $7.4M | — | 2023 |
| Thermo King Central Carolinas, LLC | Concord, NC | $7.3M | 61 | 2025 |
| Port Health Services | Greenville, NC | $7.3M | — | 2024 |
| Coastal Carolina Radiation Oncology, P.A. | Charlotte, NC | $7.3M | 17 | 2025 |
| Hood, Hargett & Associates, INC. | Charlotte, NC | $7.2M | 48 | 2024 |
| Asheville Endocrinology Consultants, PA | Asheville, NC | $6.9M | 45 | 2025 |
| Shelby Radiological Associates, PA | Shelby, NC | $6.9M | — | 2023 |
| Margaret K. Sparks, MD | Boone, NC | $6.8M | 4 | 2025 |
| Marshall Air Systems, INC. | Charlotte, NC | $6.7M | 111 | 2025 |
| Lewis Systems And Service CO, INC. | Greensboro, NC | $6.6M | — | 2023 |
| Fortune Personnel Consultants Of Raleigh, INC. | Raleigh, NC | $6.5M | 14 | 2023 |
| Bgw CPA, PLLC | Charlotte, NC | $6.4M | 112 | 2025 |
| Redhill Biopharma INC. | Raleigh, NC | $6.2M | 106 | 2024 |
| Morganton Internal Medicine, P.A | Morganton, NC | $6.2M | 16 | 2024 |
| Asheboro Emergency Physicians, P.A. | Asheboro, NC | $6.2M | 6 | 2025 |
| Tucker-kirby Company | Charlotte, NC | $6.2M | 47 | 2023 |
| Robert J. Knox, Jr., DDS, PA | Greensboro, NC | $6.2M | 8 | 2025 |
| Iomax USA, INC. | Mooresville, NC | $6.1M | 60 | 2025 |
| Tsi Healthcare, INC. | Chapel Hill, NC | $6.0M | — | 2023 |
| J. Gregory Mayes, D.D.S., Lisa H. Mayes, D.D.S., P.A. | Cary, NC | $5.9M | 14 | 2023 |
| Bartlett, Grigsby, Boan & Associates, Od, PLLC | Statesville, NC | $5.8M | 51 | 2023 |
| Psi Control Solutions, LLC | Cornelius, NC | $5.7M | 42 | 2025 |
| Davidson Eye Associates, PA | Lexington, NC | $5.7M | 28 | 2024 |
| Marshall, Williams & Gorham, LLP | Wilmington, NC | $5.6M | 9 | 2025 |
| Carolina Ocean Lines, INC. | Morehead City, NC | $5.6M | 2 | 2025 |
| Strong Medical Partners, LLC | Pineville, NC | $5.6M | 54 | 2025 |
| Cottingham-chalk & Associates, INC. | Charlotte, NC | $5.5M | 12 | 2025 |
| Credo Management, INC. | Whitsett, NC | $5.5M | 68 | 2025 |
| Aft Legacy, LLC | Charlotte, NC | $5.5M | 8 | 2023 |
| Carolina Ophthalmology Associates, P.A. | Chapel Hill, NC | $5.5M | 20 | 2024 |
| Viva Life LLC | Charlotte, NC | $5.4M | 108 | 2025 |
| Coleman Research, LLC | Raleigh, NC | $5.4M | 36 | 2025 |
| Hudson Paving, INC. | Rockingham, NC | $5.4M | 41 | 2024 |
| Drs. Busby & Webb, P.A. | Salisbury, NC | $5.3M | 25 | 2023 |
| Cape Fear Supply Company, INC. | Fayetteville, NC | $5.3M | 80 | 2023 |
| Renewal By Andersen Of The Triad | Greensboro, NC | $5.3M | 263 | 2025 |
| E3 Retail, LLC | Raleigh, NC | $5.2M | 13 | 2025 |
| Springfield Radiology Associates, P.C. | Asheville, NC | $5.2M | 4 | 2025 |
| J. Gregory Mayes, D.D.S., Lisa H. Mayes, D.D.S., P.A. | Cary, NC | $5.1M | 2 | 2024 |
| Frank E. Jones, D.D.S. | Forest City, NC | $5.1M | 4 | 2025 |
| Lyman Mullinax & Weis PA | Hendersonville, NC | $5.1M | — | 2024 |
| Mdea, INC. | Garner, NC | $5.1M | 35 | 2025 |
| Charlotte Dermatology | Charlotte, NC | $5.0M | 66 | 2025 |
| Warren & Kallianos, PLLC | Charlotte, NC | $5.0M | 2 | 2025 |
| Kingfisher Capital | Charlotte, NC | $5.0M | 7 | 2024 |