As of October 2025, the newly redrawn 1st Congressional District in North Carolina includes the counties of Beaufort, Bertie, Camden, Carteret, Chowan, Craven, Currituck, Dare, Edgecombe, Gates, Halifax, Hertford, Hyde, Nash, Northampton, Martin, Pamlico, Pasquotank, Perquimans, Tyrrell, Vance, Warren, Washington, Wayne, and some of Granville. In the latest redistricting changes, Greene, Lenoir, Wayne and Wilson counties were removed, and Beaufort, Carteret, Dare, Craven, Hyde and Pamlico counties were added to the district.