| Roanoke Medical Transport INC | Health Care and Social Assistance | $135,000 | $135,919 | 24 | $5.6M | AI Deep Dive |
| Dunning Enterprises INC | Accommodation and Food Services | $127,505 | $128,408 | 42 | $7.5M | AI Deep Dive |
| Zachary J Harrison DBA Harrison Family Dentistry | Health Care and Social Assistance | $117,943 | $118,850 | 9 | <$5M | AI Deep Dive |
| Inner Banks Medical Transport Company | Health Care and Social Assistance | $116,840 | $117,625 | 22 | $5.1M | AI Deep Dive |
| Inner Banks Medical Transport Company | Administrative and Support and Waste Management | $110,500 | $111,283 | 22 | <$5M | AI Deep Dive |
| Wishbone Properites INC | Accommodation and Food Services | $107,465 | $108,471 | 45 | $8.0M | AI Deep Dive |
| Robert C. Mills, Jr., Od PA | Health Care and Social Assistance | $106,400 | $107,384 | 12 | <$5M | AI Deep Dive |
| Reel Wireless INC | Information | $105,208 | $106,108 | 21 | <$5M | AI Deep Dive |
| Tim-Con Forest Products Inc. | Agriculture, Forestry, Fishing and Hunting | $102,000 | $102,894 | 7 | <$5M | AI Deep Dive |
| Fire Fighter Products INC | Retail Trade | $100,900 | $101,962 | 14 | <$5M | AI Deep Dive |
| Mark Chesson & Sons Inc. | Retail Trade | $100,400 | $100,885 | 11 | <$5M | AI Deep Dive |
| Mark Chesson & Sons, Inc. | Retail Trade | $100,400 | $101,318 | 14 | <$5M | AI Deep Dive |
| Harrison Family Dentistry | Health Care and Social Assistance | $97,939 | $98,347 | 11 | <$5M | AI Deep Dive |
| Tim-Con Forest Products Inc. | Agriculture, Forestry, Fishing and Hunting | $96,800 | $97,442 | 7 | <$5M | AI Deep Dive |
| Carl Thomas Dover, Jr | Health Care and Social Assistance | $95,857 | $96,672 | 10 | <$5M | AI Deep Dive |
| Williamston Memorial Baptist Church | Other Services (except Public Administration) | $94,800 | $100,135 | 22 | N/A | AI Deep Dive |
| Smiling Faces Child Care Center Inc. | Health Care and Social Assistance | $94,070 | $94,993 | 19 | <$5M | AI Deep Dive |
| The Ken-Wood Corp. | Agriculture, Forestry, Fishing and Hunting | $92,500 | $93,317 | 10 | <$5M | AI Deep Dive |
| Jeffrey J. Caldwell, Sr, D.d.s., P.a. | Health Care and Social Assistance | $84,200 | $84,980 | 9 | <$5M | AI Deep Dive |
| Pets of America Wholesale Supply, Inc. | Administrative and Support and Waste Management | $83,300 | $83,832 | 6 | <$5M | AI Deep Dive |
| Georgia Deans LLC | Accommodation and Food Services | $77,700 | $78,454 | 34 | $6.0M | AI Deep Dive |
| Vet Built INC | Construction | $77,284 | $78,070 | 9 | $10.3M | AI Deep Dive |
| Vet Built INC | Construction | $77,282 | $77,877 | 11 | $12.5M | AI Deep Dive |
| Riverbank Building Supply, Inc. | Retail Trade | $75,852 | $76,566 | 14 | <$5M | AI Deep Dive |
| Smiling Faces Child Care Center, Inc. | Health Care and Social Assistance | $72,792 | $73,574 | 22 | <$5M | AI Deep Dive |