Middlesex is a town in Nash County, North Carolina, United States. It is part of the Rocky Mount, North Carolina Metropolitan Statistical Area. Middlesex is about 25 miles east of Raleigh. As of the 2020 census, Middlesex had a population of 912.

Official town website ↗

From Wikipedia, licensed CC BY-SA 4.0 · facts via Wikidata (CC0)

Town numbers

ZIP code27557

Area code252

Living in Middlesex

Housing in Middlesex

$273K▲ 3.3% in a year Typical home value · Zillow

The typical Middlesex home is worth about $273,000, up 3.3% in a year, 18% below the North Carolina typical home.

Only 1 sale in March 2026, too few for a market read. The typical value is the steadier guide.

Zillow Home Value Index · Redfin Data CenterHousing market →

Safety in Middlesex

—

Not graded

Middlesex has fewer than 1,000 residents. At that size one or two incidents swing the numbers so much that a grade wouldn't be fair, so we show the counts instead.

Violent1

Property9

Reported in 202510

FBI crime data, 2025 · crimes reported to policeCrime & safety →

Work & commute in Middlesex

Full picture →

Most working residents leave Middlesex for work: only 4% work in town. The top destinations are Raleigh (12%), Wilson (9%) and Zebulon (6%). Half commute less than 23 miles.

Raleigh

12%

Wilson

Zebulon

Rocky Mount

4%Work in townlive and work in Middlesex 23 miWhere do people commute?the commute map 435Jobs based herea job hub

Census LEHD 2023 · ACSWork & commute in Middlesex →

Health in Middlesex

Compared with North Carolina

17worse than NC

of 32 measures CDC estimates. The other 15 are too close to call.

Conditions 7▼ 5 close Habits 2▼ 2 close Care 2▼ 5 close Mind 2▼ 3 close Everyday needs 4▼ 0 close

BetterToo close to callWorse

What stands out

22.2%More older adults who have lost all their teethNC 13.9% · worse 23.9%More adults facing food insecurityNC 15.2% · worse 18%More adults facing housing insecurityNC 12.2% · worse

Care nearby

Wilson Medical CenterWilson · 15.4 mi · ER

Carolina Family Dental CenterElm City · 15.7 mi · sliding-scale fees

Primary careShortage · county-wide

DentalShortage · county-wide

Mental healthShortage · county-wide

CDC PLACES 2025 · modeled estimates for adults · CDC's estimate for Middlesex · CMS · HRSAHealth in Middlesex →

Natural hazards in Middlesex

Low

Expected storm and flood damage is higher than in 29% of U.S. communities.

🌊 Inland flooding🌀 Hurricanes🌪️ Tornadoes

0Does Middlesex flood?no paid flood claims on record 4Disasters that paid out herefederal disasters sent FEMA money to Middlesex

FEMA National Risk Index December 2025 · OpenFEMANatural hazards in Middlesex →

Climate in Middlesex

Full climate →

Middlesex has mild winters and warm summers, with plenty of rain. A typical July afternoon reaches 90°, a January night drops to 31°, and about 3 inches of snow falls in a normal winter.

54° / 32°Winter

72° / 47°Spring

88° / 67°Summer

73° / 50°Fall