| Voltar Investments LLC | Retail Trade | $409,700 | $412,352 | 48 | $12.1M |  AI Deep Dive |
| Appalachian Voices | Other Services (except Public Administration) | $393,050 | $395,387 | 28 | N/A | AI Deep Dive |
| Appalachian Voices | Other Services (except Public Administration) | $392,690 | $396,929 | 31 | N/A | AI Deep Dive |
| Western Carolina Eye Associates P.a. | Health Care and Social Assistance | $381,400 | $385,057 | 50 | $15.7M | AI Deep Dive |
| Edmisten Heating and Cooling, INC | Construction | $373,162 | $376,749 | 42 | $13.3M | AI Deep Dive |
| Watauga Medics INC | Administrative and Support and Waste Management | $363,600 | $368,246 | 58 | $11.0M | AI Deep Dive |
| Blue Ridge Ear, Nose and Throat, Inc., P.a. | Health Care and Social Assistance | $362,000 | $366,453 | 29 | $9.1M | AI Deep Dive |
| Blue Ridge Ear Nose and Throat INC | Health Care and Social Assistance | $359,400 | $361,950 | 30 | $9.4M | AI Deep Dive |
| Pneuma Respiratory, Inc. | Manufacturing | $357,167 | $366,116 | 12 | $11.9M | AI Deep Dive |
| Western Carolina Eye Associates P.a. | Health Care and Social Assistance | $356,800 | $360,114 | 44 | $13.8M | AI Deep Dive |
| Larry E Stigall DDS PA | Health Care and Social Assistance | $349,877 | $145,744 | 9 | <$5M | AI Deep Dive |
| J W Hampton Company | Construction | $323,585 | $325,652 | 30 | $11.2M | AI Deep Dive |
| The Jw Hampton Company | Construction | $323,568 | $326,102 | 30 | $11.2M | AI Deep Dive |
| Animal Emergency and Pet Care Clinic of the High Country, Pl | Professional, Scientific, and Technical Services | $320,400 | $324,491 | 29 | <$5M | AI Deep Dive |
| Blue Ridge Rentals Holdings LLC | Real Estate and Rental and Leasing | $320,300 | $321,318 | 60 | $7.0M | AI Deep Dive |
| Blue Ridge Rentals Holdings, LLC | Real Estate and Rental and Leasing | $320,300 | $322,582 | 60 | $7.0M | AI Deep Dive |
| The Grubstake INC | Accommodation and Food Services | $312,300 | $313,866 | 44 | $7.8M | AI Deep Dive |
| Psg Custom Fabrication L.l.c. | Manufacturing | $300,500 | $303,612 | 40 | $9.8M | AI Deep Dive |
| Lost Province Brewing Company, LLC | Manufacturing | $300,000 | $302,258 | 63 | $22.2M | AI Deep Dive |
| Labrador Holdings, PC | Professional, Scientific, and Technical Services | $297,000 | $299,824 | 19 | <$5M | AI Deep Dive |
| Psg Custom Fabrication LLC | Manufacturing | $296,200 | $300,298 | 40 | $9.8M | AI Deep Dive |
| Stick Boy Bread Co., Inc. | Accommodation and Food Services | $287,117 | $290,012 | 140 | $24.9M | AI Deep Dive |
| New River Landscaping INC | Administrative and Support and Waste Management | $286,624 | $288,200 | 35 | $7.6M | AI Deep Dive |
| Modern Ford of Boone, LLC | Retail Trade | $282,900 | $287,230 | 25 | $6.3M | AI Deep Dive |
| Family Only, Inc. | Accommodation and Food Services | $280,233 | $282,774 | 68 | $12.1M | AI Deep Dive |