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30 leading marketing and communications agencies in North Carolina

Tamtam tracks 30 marketing and communications agencies headquartered in North Carolina. This list ranks all of them by number of employees on LinkedIn, led by SPAR Group, Logoworks and Syneos Health Clinical Solutions. Their median headcount is 347. Half of them were founded in 2001 or later. The most common headquarters are Charlotte (9), Raleigh (7) and Morrisville (3).

馃嚭馃嚫 North Carolina30 companiesUpdated Nov 2, 2026
#CompanyIndustryHeadquarters EmployeesFounded
1
SPAR Groupsparinc.com

A global merchandising and marketing services company with expertise in retail and manufacturer support, offering specialized capabilities across multiple countries

Retail 馃嚭馃嚫 Charlotte 3,852 1967
2
Logoworkslogoworks.com

A US-based graphic design service specializing in custom, affordable, and hassle-free designs since 2001, crafted uniquely by expert designers

Graphic Design 馃嚭馃嚫 New Bern 2,100 2001
3
Syneos Health Clinical Solutionssyneoshealth.com

A leading biopharmaceutical solutions organization accelerating customer success by translating insights into outcomes and delivering important therapies worldwide

Pharmaceutical Manufacturing 馃嚭馃嚫 Morrisville 1,569 2017
4
Cleancleaninc.com

A versatile advertising and design agency delivering simple yet powerful solutions to overcome business challenges across various industries

Advertising Services 馃嚭馃嚫 Raleigh 1,100 1996
5
Syneos Health Commercial Solutionssyneoshealth.com

A fully integrated biopharmaceutical solutions organization specializing in accelerating customer success by translating insights into outcomes for modern market realities

Biotechnology Research 馃嚭馃嚫 Morrisville 1,064 n/a
6
INC Researchsyneoshealth.com

Syneos Health provides integrated solutions for biopharmaceutical companies, offering expertise, data, and insights to accelerate clinical and commercial success

Pharmaceutical Manufacturing 馃嚭馃嚫 Raleigh 994 2017
7
Syneos Health Communicationssyneoshealthcommunications.com

Leading healthcare network providing advertising, branding, public relations, and medical communications services to accelerate brand performance through integrated strategies and real-world market insights.

Advertising Services 馃嚭馃嚫 Morrisville 915 n/a
8
Affinity Group, Sales & Marketing Agencyaffinitysales.com

Sales and marketing agency providing culinary support, store-level merchandising, plus strategic sales planning for foodservice and retail fresh food channels across North America.

Food and Beverage Services 馃嚭馃嚫 Charlotte 910 2014
9
About Face Modelsaboutfacemodels.com

A nationwide model, talent, and staffing agency hand-selecting top models to meet client needs, delivering maximum brand awareness and exceptional customer service

Staffing and Recruiting 馃嚭馃嚫 Madison 779 2010
10
inVentiv Health Clinicalsyneoshealth.com

Integrated clinical and commercial solutions company dedicated to accelerating biopharmaceutical processes through expertise, data, and insights for global clients

Pharmaceutical Manufacturing 馃嚭馃嚫 Raleigh 757 2017
11
Classictheimaginegroup.com

The company focuses on generating ideas rather than just printing, showcasing innovation and creativity in their services

Printing 馃嚭馃嚫 Charlotte 653 n/a
12
Methodmethod.com

This company specializes in creating digital products, leveraging strategists, designers, and engineers to simplify complexity and drive digital transformation for businesses

Design Services 馃嚭馃嚫 Charlotte 540 1999
13
Townsquare Interactivecareers.townsquareinteractive.com

A business management platform helping small-town businesses grow faster, run smarter, and succeed with personalized support and career development opportunities

Advertising Services 馃嚭馃嚫 Charlotte 422 2012
14
McKinneymckinney.com

Creative, media, and influencer agency with multiple national offices, recognized for exceptional workplace culture and award-winning work for top brands

Advertising Services 馃嚭馃嚫 Durham 369 1969
15
Pacepaceco.com

A marketing agency that delivers results through innovative strategies, data-driven thinking, and creative solutions, while prioritizing customer and employee experiences

Advertising Services 馃嚭馃嚫 Greensboro 347 1973
16
Olly Ollyollyolly.com

Olly Olly is a digital marketing company founded in 2018, focused on helping small businesses navigate the online world with ease

Advertising Services 馃嚭馃嚫 Charlotte 328 2018
17
Source4source4.com

A national company specializing in integrated business, marketing, and technology solutions to streamline processes and reduce costs for businesses

Advertising Services 馃嚭馃嚫 Huntersville 307 1978
18
Quantum 3 Mediaquantum3media.com

A fast-growing customer acquisition company specializing in lead generation, contact center services, and data management across various industries with a focus on integrity and compliance

Advertising Services 馃嚭馃嚫 Charlotte 214 n/a
19
Nustoragely.io

Nu provides comprehensive marketing solutions, including web design, branding, content creation, paid advertising, and social media, to help businesses grow using an inbound marketing approach

Advertising Services 馃嚭馃嚫 Winston-Salem 184 1999
20
Trident Marketingtridentmarketing.com

A multi-channel direct response company in Southern Pines, NC, acquiring customers for leading consumer brands through marketing and sales channels

Advertising Services 馃嚭馃嚫 Southern Pines 183 1986
21
ROI Revolution, Inc.roirevolution.com

A leading digital marketing agency specializing in performance marketing services, strategy design, and website optimization to drive profitable growth for consumer brands

Advertising Services 馃嚭馃嚫 Raleigh 113 2002
22
Sales Factorysalesfactory.com

A results-driven marketing company specializing in retail success, using consumer insights to create impactful strategies and creative solutions for brands

Marketing Services 馃嚭馃嚫 Greensboro 110 n/a
23
Bespoke Sports & Entertainmentbespokesportsmarketing.com

Sports and entertainment consulting agency specializing in partnerships, sponsorship investment, personalized marketing solutions, and brand activation with experienced industry veterans

Advertising Services 馃嚭馃嚫 Charlotte 33 2014
24
Centerline Digitalcenterline.net

Specializing in digital marketing and creative solutions for B2B companies, providing services like branding, digital strategy, content production, and media activation

Advertising Services 馃嚭馃嚫 Raleigh 29 1995
25
Blue Pack Marketingbluepackmarketing.com

A marketing agency specializing in branding, social media advertising, fulfillment, and omnichannel strategies, providing valuable insights from owning a $50 million brand

Advertising Services 馃嚭馃嚫 Clayton 22 n/a
26
Maximum Real Estate Marketing + Consultingmaximumrocks.com

A full-service agency specializing in luxury destination and lifestyle brands, offering strategic marketing, branding, advertising, digital, event planning, lead generation, and PR services

Advertising Services 馃嚭馃嚫 Wilmington 14 1998
27
River Delta Consulting, Incriverdeltaconsulting.com

A global IT services provider offering customized solutions for businesses, specializing in web, database, mobile app development, and niche products

IT Services and IT Consulting 馃嚭馃嚫 Raleigh 8 2001
28
E-dreamz, Inc.edreamz.com

Full-service digital experience agency specializing in web development, software integration, and technical support for industries like healthcare, B2B/B2C ecommerce, and professional services

Technology, Information and Internet 馃嚭馃嚫 Charlotte 7 1999
29
McGraw Mediamcgrawmeda.com

This company specializes in advertising and marketing services, helping businesses increase brand awareness and drive sales through various promotional strategies

Advertising Services 馃嚭馃嚫 Raleigh 5 n/a
30
GARYAssociates Creative Groupgaryassociates.com

Specializing in brand positioning, marketing solutions, and promotions to help businesses grow successfully through strategic design and strong brand development

Advertising Services 馃嚭馃嚫 Madison 2 2001

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How this list is built

Every company on this list has a Tamtam company profile. The industry is the one the company gives on LinkedIn; categories such as SaaS or fintech are classified by Tamtam's AI from the company's website and LinkedIn page; and the headquarters city must match the company's own address. Companies are ranked by the number of employees on LinkedIn, and the list is refreshed every night. Classifications can be wrong, so treat the list as a starting point rather than an official ranking. Last updated Nov 2, 2026.

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