Originally numbering 18, the 17 current regional associations handle services which are generally more economic to coordinate on a regional, rather than local level, including economic development, environmental protection, land-use planning, and services for the elderly.
- : Southwestern Commission - '' Cherokee , Clay , Graham , Swain , Haywood , Jackson , Macon ''
- : Land-of-Sky Regional Council - '' Madison , Buncombe , Henderson , Travsylvania ''
- : Isothermal Planning And Development Commission - '' Polk , Rutherford , McDowell , Cleveland ''
- : High Country Council Of Governments - '' Yancey , Mitchell , Avery , Watauge , Ashe , Alleghany , Wilkes ''
- : Western Piedmont Council Of Governments - '' Caldwell , Burke , Alexander , Catawba ''
- : Centralina Council Of Governments - '' Iredell , Rowan , Lincoln , Gaston , Mecklenburg , Cabarrus , Stanly , Union , Anson ''
- : Piedmont Triad Council Of Governments - '' Davidson , Montgomery , Randolph , Guilford , Rockingham , Caswell , Alamance ''
- : ''no longer exists''
- : Northwest Piedmont Council Of Governments - '' Surry , Stokes , Forsyth , Yadkin , Davie ''
- : Triangle J Council Of Governments - '' Moore , Lee , Chatham , Orange , Durham , Wake , Johnston ''
- : Kerr-Tar Regional Council Of Governments - '' Person , Granville , Vance , Warren , Franklin ''
- : Upper Coastal Plain Council Of Governments - '' Wilson , Nash , Edgecombe , Halifax , Northampton ''
- : Mid-Carolina Council Of Governments - '' Harnett , Cumberland , Sampson ''
- : Lumber River Council Of Governments - '' Richmond , Scotland , Hoke , Robeson , Bladen ''
- : Cape Fear Council Of Governments - '' Brunswick , Columbus , New Hanover , Pender ''
- : Eastern Carolina Council Of Governments - '' Onslow , Duplin , Wayne , Greene , Lenoir , Jones , Craven , Carteret , Pamlico ''
- : Mid-East Commission - '' Hertford , Bertie , Martin , Pitt , Beauford ''
- : Albemarle Commission - '' Gates , Chowan , Perquimans , Pasquotank , Camden , Currituck , Washington , Tyrrell , Dare , Hyde ''
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