Middlesex City Demographics

Middlesex city in Nash County, NC, has an estimated population of 912 (2020 Census). About 48% are male and 52% female. The median age is approximately 37 years. Racially, Middlesex is 66% White, 21% Black or African American, 1% Asian, and 10% Hispanic or Latino of any race. The city has a mix of young families and older adults, with 22% under 18 and 17% over 65.

Middlesex City Housing

Middlesex, located in Nash County, NC, has a median home value of approximately $180,000 in 2024, with about 68% homeownership and 32% rentals. The rental median is around $1,050 per month. Housing types primarily include single-family homes with some manufactured houses. Popular neighborhoods feature quiet, residential settings. Property values rose roughly 5% in the past year, reflecting a stable market. Property tax rates average 0.81%, below the national average, making homeownership relatively affordable.

Education in Middlesex City

Middlesex, located in Nash County, NC, is served by Nash County Public Schools. There are no schools directly in Middlesex; students typically attend Southern Nash High School (~1,040 students, 81% graduation rate) in nearby Bailey. The area lacks higher education institutions; only about 10% of Middlesex adults hold a bachelor’s degree or higher. Educational programs focus on standard and career pathways, with district safety measures in place. School district ratings average 4/10 (GreatSchools). Adult education is primarily accessible via community colleges in Rocky Mount or Wilson.

Transportation in Middlesex City

Middlesex, located in Nash County, NC, relies primarily on personal vehicles for transportation, with over 90% of residents commuting by car and fewer than 1% using public transit, reflecting limited transit options. The average commute time is approximately 25 minutes. Most households (over 95%) own at least one vehicle. Major roads, including US-264 Alternate and NC-231, connect residents to employment centers in Rocky Mount and Wilson. Public transportation is minimal, with no fixed-route transit system in town. Most commuters travel to jobs outside Middlesex, with the largest employment hubs located in nearby cities.

Middlesex City Healthcare

Middlesex, located in Nash County, NC, lacks hospitals within city limits; residents primarily access care at Nash UNC Health Care in Rocky Mount (about 20 miles away) or local clinics such as Rural Health Group. Approximately 10% of Nash County residents are uninsured, with Medicaid/Medicare covering around 42%. The population (Middlesex city: ~850) is 46% White, 36% Black, and 14% Hispanic, with a median age of 34. Common health concerns include diabetes (12%), hypertension (33%), and obesity (38%). Healthcare access is limited, with about 1 primary care provider per 2,000 residents in Nash County.

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