Best PPC Agencies in North Carolina (2026) – Ranked by Case Studies
YMCA of Greensboro (Google Ad Grants) Client-verified
PPC
Non Profit
201-500 Employees
N/A
Greensboro, NC
N/A- Monthly ad spend scaled from under $2,500 to the full $10,000 grant
- 25 active campaigns running at once
- 1,610 clicks per month
- $5,045 average monthly revenue from ad-driven program signups
PPC, Marketing AutomationAutomotive51-200 EmployeesN/APfafftown, NCN/A- 30% increase in total lead conversions
- 25% of website visitors returned via remarketing
- 3-5 new sales-qualified leads per month
- Average cost per click under $0.40
PPC, Content MarketingConsulting51-200 EmployeesN/AGreensboro, NCN/A- $1,204,920 in total opportunity value created
- 83 sales-qualified leads in 9 months
- 55% reduction in cost per acquisition
- Cost per lead fell from $1,359 in Q1 to $606 in Q3
King Law Offices Client-verified
SEO, Local SEO, PPCLaw Firm51-200 EmployeesN/AForest City, NCN/A- 34% increase in organic client acquisition in 3 months
- $130K in additional monthly revenue within 3 months
- 26K top-ranking keywords across search engines and AI
- Revenue from the first 3 months more than covered annual marketing fees
Truck Pit Stop Client-verified
PPC, Local SEOAutomotive1-10 EmployeesN/ACharlotte, NCN/A- Calls up from 53 in January to 303 in August
- Call cost down from $29 to $15.26
- Reviews grew from 20 to 170 in 7 months
- 65% local map visibility
Carolina Custom Surfaces Client-verified
Web Design, PPCManufacturing11-50 EmployeesN/ATriad, NCN/A- 2,100+ new users in the first 30 days
- 11,000+ impressions and 371 clicks (3.36% CTR)
- 38 conversions at $42.80 CPA
- Tracking unified across GA4, Google Ads and Databox
HomeChoice Home Care Client-verified
SEO, PPC, Email MarketingSenior Care51-200 EmployeesN/ARaleigh, NCN/A- Conversion rate of roughly 35% held on rising lead volume
- Search rankings held steady instead of sliding
Web Design, SEO, PPCHealthcareN/AN/ACharlotte, NCN/A- Website traffic up 1,000x
- New nutrition clients in Charlotte
- Web design, SEO, PPC and social media program
Web Development, SEO, PPCHealthcareN/AN/ACharlotte, NCN/A- Grew to 18+ locations and 2 additional markets (Raleigh, NC and Savannah, GA)
- Platinum Award winner for SEO
- Website built in 2015 and improved continuously since
Web Design, SEO, PPCOutdoor RecreationN/AN/AMooresville, NCN/A- +160% organic search traffic
- +65% lesson bookings
- +50% average session duration and -30% bounce rate
- +40% mobile traffic after a Webflow migration
PPCSporting Goods1-10 EmployeesN/ATroy, NCN/A- $22,760.08 in On a Spend of Only
- 265 Conversions
PPC, SEOFashionN/AN/AAsheboro, NCN/A- 320% Increase
- 100% Increase in Organic Revenue
- 287% Increase in Overall Sessions
- $1,268 in We Saw a Revenue
PPC, SEO, Web Design, Web DevelopmentHome & Garden51-200 EmployeesN/AHarrisburg, NCN/A- 8,172 Sessions
- 127% Increase in Overall Revenue ($
- 146% Increase in Organic Revenue
PPCRetail1-10 EmployeesN/ASnow Hill, NCN/A- 105% increase in store visit conversions
- 10% average click-through rate
- 62% of outbound click conversions from paid search
PPCEntertainment501-1K EmployeesN/ARaleigh, NCN/A- 70% increase in website registrations
- 310% increase in click-through rate
- 37% decrease in cost per acquisition
PPC, Ad Creative, SEOHome Services51-200 EmployeesN/ACharlotte, NCN/A- Conversion rate up from 5.94% to 10.40% (+74%)
- 99.85% statistical significance
PPCAutomotive51-200 EmployeesN/AConcord, NCN/A- 39% Increase in Revenue
- 160% Increase in CTR
- 118% Increase in ROAS
PPCPublishing1K-5K EmployeesN/ACharlotte, NCN/A- 48% Increase in CTR
- 181% Increase in Conversion Rate
- 38% Decrease in CPA
Social Media Ads, PPC, Email MarketingDental11-50 EmployeesN/ABrevard, NCN/A- 87% lower Search Ads cost per click than industry average
- 123% lower Search Ads cost per lead than industry average
- 96% higher Search Ads conversion rate than industry average
Data & Analytics, PPCSaaS1K-5K EmployeesN/ACharlotte, NCN/A- +9% conversion rate
- +35K annual paid media savings
- +9% improvement in AdWords CPA
PPC, eCommerce Optimization, Data & AnalyticsEcommerce51-200 EmployeesN/AGastonia, NCN/A- 40x return on ad spend (ROAS)
- 3,646 purchases in 30 days
- +1233% return on ad spend
- +1880% purchases
- +1424% conversion value
PPCPrinting1K-5K EmployeesN/ACharlotte, NCN/A- 65% Increase in Leads
- 89% Increase in ROAS
- 14 New Markets Activated
PPC, Social Media AdsMedical Device51-200 EmployeesN/ACharlotte, NCN/A- $50K+ Monthly Net New Revenue
- 900+ New Monthly Purchases
- 18.1x ROAS
SEO, PPCGastroenterology51-200 EmployeesN/AConcord, NCN/A- 67% Increase in Organic Conversions
- 28% Increase in Website Visits
- 55% Decrease in Cost Per Acquisition
- 104% Increase in PPC Conversion Rate
PPCB2B11-50 EmployeesN/AWinston-Salem, NCN/A- 99 Conversions
- $15,040.66 Revenue
- $5,731.82 Cost
- 162.41% Return on Investment
PPC, SEO, CRO, Content MarketingSaaS51-200 EmployeesN/ACharlotte, NCN/A- 21% Increase in Sales Qualified Leads
- 46% Improved Conversion Rate
- 30% Improved CTR
- 4% Increase in Organic Sessions MoM
PPC, Social Media AdsNon ProfitN/AN/AAsheville, NCN/A- Nearly 1 million people engaged through YouTube and Meta
- Unified communications across 22 counties after Hurricane Helene
- First unified regional disaster response initiative in the U.S.
PPC, Social Media AdsEducation501-1K EmployeesN/ARaleigh, NCN/A- 29.35% reduction in cost per lead year over year
- 31.7% decrease in cost per enrollment year over year
SEO, PPCMSP51-200 EmployeesN/ADurham, NCN/A- 96% Increase in Organic Sessions YoY
- 2X INCREASE IN WEBSITE TRAFFIC AND LEADS
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