Ticks in North Carolina
Ticks are active in North Carolina nearly year-round, led by the lone star tick. TickZone scores all 663 North Carolina towns every morning, so risk stays local: pick your town for today's number, a 7-day outlook, and what's driving it.
Tick season in North Carolina
Tick season in North Carolina effectively runs year-round: winters rarely stay cold long enough to fully shut ticks down. Lone star ticks ramp up first in early spring, peak from April through July, and their larval "seed tick" swarms hit hardest in late summer. American dog ticks are busiest from spring through midsummer, and adult ticks of every species can still quest on mild winter days.
| Life stage | J | F | M | A | M | J | J | A | S | O | N | D |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lone star tick | ||||||||||||
| Seed ticks (lone star larvae) | ||||||||||||
| American dog tick | ||||||||||||
| Gulf Coast tick |
That means prevention never fully comes off in North Carolina: the safer way to time it is by the day, not the month. The daily score on every town page folds the season, the weather, and local habitat into one number each morning.
Highest-risk towns in North Carolina (2026)
North Carolina's highest-risk towns are spread across several counties, led by Chatham County. The top 10 towns run 52 to 81 percent forest, ranked at peak season so the list stays stable.
- 1Sparta Alleghany CountyModerate at peak
- 2Cornelius Mecklenburg CountyModerate at peak
- 3Governors Club Chatham CountyModerate at peak
- 4Lake Norman of Iredell Iredell CountyModerate at peak
- 5Washington Park Beaufort CountyModerate at peak
- 6Whispering Pines Moore CountyModerate at peak
- 7Trent Woods Craven CountyModerate at peak
- 8Pinehurst Moore CountyModerate at peak
- 9Ogden New Hanover CountyModerate at peak
- 10Governors Village Chatham CountyModerate at peak
All North Carolina towns, by county
Alamance County · 11 towns
Alexander County · 3 towns
Alleghany County · 1 towns · 176/100k Lyme
Anson County · 7 towns
Ashe County · 3 towns · 87/100k Lyme
Avery County · 6 towns · 29/100k Lyme
Beaufort County · 9 towns
Bertie County · 8 towns
Bladen County · 7 towns
Brunswick County · 19 towns
Buncombe County · 12 towns · 14/100k Lyme
Burke County · 10 towns
Cabarrus County · 5 towns
Caldwell County · 8 towns
Carteret County · 14 towns
Caswell County · 2 towns
Catawba County · 11 towns
Chatham County · 7 towns
Cherokee County · 2 towns
Chowan County · 1 towns
Clay County · 1 towns
Cleveland County · 15 towns
Columbus County · 10 towns
Craven County · 13 towns
Cumberland County · 10 towns · 2/100k Lyme
Currituck County · 2 towns
Dare County · 8 towns
Davidson County · 8 towns
Davie County · 4 towns
Duplin County · 10 towns
Durham County · 3 towns · 2/100k Lyme
Edgecombe County · 7 towns
Forsyth County · 8 towns · 2/100k Lyme
Franklin County · 5 towns
Gaston County · 13 towns
Gates County · 1 towns
Graham County · 3 towns
Granville County · 5 towns
Greene County · 4 towns
Guilford County · 12 towns · 1/100k Lyme
Halifax County · 8 towns
Harnett County · 8 towns
Haywood County · 6 towns
Henderson County · 16 towns
Hertford County · 6 towns
Hoke County · 2 towns
Iredell County · 6 towns
Jackson County · 5 towns
Johnston County · 11 towns
Jones County · 3 towns
Lee County · 2 towns
Lenoir County · 4 towns
Lincoln County · 4 towns
Macon County · 2 towns
Madison County · 3 towns · 30/100k Lyme
Martin County · 9 towns
McDowell County · 4 towns
Mecklenburg County · 7 towns · 1/100k Lyme
Mitchell County · 2 towns · 87/100k Lyme
Montgomery County · 5 towns
Moore County · 12 towns
Nash County · 11 towns
New Hanover County · 16 towns
Northampton County · 9 towns
Onslow County · 9 towns
Orange County · 3 towns · 3/100k Lyme
Pamlico County · 9 towns
Pasquotank County · 1 towns
Pender County · 8 towns
Perquimans County · 2 towns
Person County · 1 towns
Pitt County · 10 towns
Polk County · 3 towns
Randolph County · 9 towns
Richmond County · 8 towns
Robeson County · 15 towns
Rockingham County · 6 towns
Rowan County · 10 towns
Rutherford County · 8 towns
Sampson County · 9 towns
Scotland County · 5 towns
Stanly County · 10 towns
Stokes County · 3 towns · 11/100k Lyme
Surry County · 7 towns
Swain County · 2 towns
Transylvania County · 2 towns
Tyrrell County · 1 towns
Union County · 14 towns · 2/100k Lyme
Vance County · 3 towns
Wake County · 12 towns · 1/100k Lyme
Warren County · 3 towns
Washington County · 3 towns
Watauga County · 6 towns · 55/100k Lyme
Wayne County · 11 towns
Wilkes County · 9 towns · 11/100k Lyme
Wilson County · 7 towns
Yadkin County · 4 towns
Yancey County · 1 towns · 79/100k Lyme
North Carolina tick questions
- Are there ticks in North Carolina?
- Yes. North Carolina has ticks in every county, led by the lone star tick, with the American dog tick, Gulf Coast tick, brown dog tick, and deer tick also present. Ticks here stay active nearly year-round, and today 49 of the state's 663 towns are at moderate or high tick risk on TickZone's daily score.
- What types of ticks live in North Carolina?
- North Carolina has five human-biting ticks: the lone star tick (established statewide, the state's most common human-biting tick and the main cause of alpha-gal syndrome), the Gulf Coast tick (not established), the American dog tick, the brown dog tick, and the deer tick (blacklegged tick), which carries Lyme disease but bites people far less often this far south. See the North Carolina tick identification chart for photos and how to tell them apart.
- When does tick season start and end in North Carolina?
- In North Carolina, ticks are active nearly year-round: the region rarely gets a hard freeze long enough to fully shut them down. The lone star tick ramps up earliest in spring, peaks in midsummer, and its larval "seed tick" swarms hit hardest in late summer. Adult ticks can still quest on mild winter days.
- When is flea and tick season?
- Flea and tick season generally runs from early spring through late fall, peaking in the warm summer months. In North Carolina, start prevention for pets and people in March and keep it up through November, since ticks can bite on any mild day.
- Which tick carries Lyme disease in North Carolina?
- The deer tick, also called the blacklegged tick, is the tick that spreads Lyme disease, but it is a minor factor in North Carolina. The lone star tick does not carry Lyme, but its bite causes alpha-gal syndrome, and it bites people far more often here than the deer tick does.
- Does North Carolina have lone star ticks that cause alpha-gal syndrome?
- Yes. The lone star tick is established across North Carolina and is the tick most responsible for human bites in the state. Its bite can trigger alpha-gal syndrome, a delayed allergy to red meat and other mammal products, along with ehrlichiosis and STARI.