| No. | Champion | Championship change | Reign statistics | Notes | Ref. |
| Date | Event | Location | Reign | Days | Days recog. |
| | National Wrestling Alliance (NWA) / Jim Crockett Promotions (JCP) |
| 1 | Harley Race | January 1, 1975 | House show | Tallahassee, FL | 1 | 183 | 183 | Defeated Johnny Weaver in a tournament final to become the inaugural NWA United States Heavyweight Champion for Mid-Atlantic Championship Wrestling. | |
| 2 | Johnny Valentine | July 3, 1975 | House show | Greensboro, NC | 1 | 93 | 92 | | |
| — | Vacated | October 4, 1975 | — | — | — | — | — | Vacated when Johnny Valentine suffered a career-ending injury in a plane crash. | |
| 3 | Terry Funk | November 9, 1975 | House show | Greensboro, NC | 1 | 18 | 18 | Defeated Paul Jones in a tournament final for the vacant title. | |
| 4 | Paul Jones | November 27, 1975 | House show | Greensboro, NC | 1 | 107 | 106 | | |
| 5 | Blackjack Mulligan | March 13, 1976 | House show | Greensboro, NC | 1 | 217 | 217 | | |
| 6 | Paul Jones | October 16, 1976 | House show | Greensboro, NC | 2 | 43 | 42 | WWE recognizes Jones' reign as ending on November 28, 1976. | |
| † | Blackjack Mulligan | November 28, 1976 | House show | Charlotte, NC | 2 | 11 | — | | |
| † | Paul Jones | December 9, 1976 | House show | Winston-Salem, NC | 3 | 6 | — | | |
| 7 | Blackjack Mulligan | December 15, 1976 | House show | Raleigh, NC | 2(3) | 204 | 204 | | |
| 8 | Bobo Brazil | July 7, 1977 | House show | Norfolk, VA | 1 | 22 | 21 | | |
| 9 | Ric Flair | July 29, 1977 | House show | Richmond, VA | 1 | 84 | 83 | | |
| 10 | Ricky Steamboat | October 21, 1977 | House show | Charleston, SC | 1 | 72 | 72 | | |
| 11 | Blackjack Mulligan | January 1, 1978 | House show | Greensboro, NC | 3(4) | 77 | 77 | | |
| 12 | Mr. Wrestling | March 19, 1978 | House show | Greensboro, NC | 1 | 21 | 21 | | |
| 13 | Ric Flair | April 9, 1978 | House show | Charlotte, NC | 2 | 253 | 251 | | |
| 14 | Ricky Steamboat | December 17, 1978 | House show | Toronto, ON, Canada | 2 | 105 | 104 | | |
| 15 | Ric Flair | April 1, 1979 | House show | Greensboro, NC | 3 | 133 | 133 | | |
| — | Vacated | August 12, 1979 | — | — | — | — | — | Vacated when Ric Flair won the NWA World Tag Team Championship four days prior. | |
| 16 | Jimmy Snuka | September 1, 1979 | House show | Charlotte, NC | 1 | 231 | 232 | Defeated Ricky Steamboat in a tournament final for the vacant title.WWE recognizes Snuka's reign as ending on April 20, 1980. | |
| 17 | Ric Flair | April 19, 1980 | House show | Greensboro, NC | 4 | 98 | 97 | WWE recognizes Flair's reign as beginning on April 20, 1980, although in reality, he won the title on April 19, 1980. | |
| † | Greg Valentine | July 26, 1980 | House show | Charlotte, NC | 1 | 121 | — | | |
| † | Ric Flair | November 24, 1980 | House show | Greenville, SC | 5 | 64 | — | Although this reign is not recognized, a WWE.com article recognized Flair as a six-time champion. | |
| 18 | Roddy Piper | January 27, 1981 | House show | Raleigh, NC | 1 | 193 | 193 | The title became the undisputed NWA United States Heavyweight Championship in January 1981 after the NWA San Francisco office, the last other promotion to recognize its own United States Heavyweight Champion, closed. | |
| 19 | Wahoo McDaniel | August 8, 1981 | House show | Greensboro, NC | 1 | 31 | 31 | | |
| — | Vacated | September 8, 1981 | — | — | — | — | — | Vacated when Wahoo McDaniel was injured by Abdullah the Butcher. | |
| 20 | Sgt. Slaughter | October 4, 1981 | House show | Charlotte, NC | 1 | 229 | 228 | Defeated Ricky Steamboat in a tournament final for the vacant title. | |
| 21 | Wahoo McDaniel | May 21, 1982 | House show | Richmond, VA | 2 | 17 | 17 | | |
| 22 | Sgt. Slaughter | June 7, 1982 | House show | Greenville, SC | 2 | 76 | 75 | Awarded the title due to Wahoo McDaniel being injured by Don Muraco and Roddy Piper before the match. | |
| 23 | Wahoo McDaniel | August 22, 1982 | House show | Charlotte, NC | 3 | 74 | 74 | | |
| 24 | Greg Valentine | November 4, 1982 | House show | Norfolk, VA | 1(2) | 163 | 162 | | |
| 25 | Roddy Piper | April 16, 1983 | House show | Greensboro, NC | 2 | 14 | 14 | | |
| 26 | Greg Valentine | May 1, 1983 | House show | Greensboro, NC | 2(3) | 228 | 228 | Valentine won when Roddy Piper suffered a large cut over his left ear and the referee stopped the match. | |
| 27 | Dick Slater | December 14, 1983 | House show | Shelby, NC | 1 | 129 | 129 | | |
| 28 | Ricky Steamboat | April 21, 1984 | House show | Greensboro, NC | 3 | 64 | 63 | | |
| 29 | Wahoo McDaniel | June 24, 1984 | House show | Greensboro, NC | 4 | 7 | 6 | | |
| — | Vacated | July 1, 1984 | — | — | — | — | — | Wahoo McDaniel was stripped of the title due to Tully Blanchard interfering in McDaniel's title defense. | |
| 30 | Wahoo McDaniel | October 7, 1984 | House show | Charlotte, NC | 5 | 167 | 167 | Defeated Manny Fernandez in a tournament final for the vacant title. | |
| 31 | Magnum T. A. | March 23, 1985 | World Wide Wrestling | Charlotte, NC | 1 | 120 | 119 | | |
| 32 | Tully Blanchard | July 21, 1985 | House show | Charlotte, NC | 1 | 130 | 129 | | |
| 33 | Magnum T. A. | November 28, 1985 | Starrcade | Greensboro, NC | 2 | 182 | 153 | This was an "I Quit" steel cage match.WWE recognizes Magnum T. A. as being stripped of the title on May 1, 1986. | |
| — | Vacated | May 29, 1986 | — | — | — | — | — | Magnum T. A. was stripped of the title for attacking NWA president Bob Geigel. | |
| 34 | Nikita Koloff | August 17, 1986 | House show | Charlotte, NC | 1 | 328 | 327 | Defeated Magnum T. A. in a best of seven series for the vacant title,Koloff defeated Wahoo McDaniel on September 28, 1986 to unify the NWA National Heavyweight Championship into the U.S. title. | |
| 35 | Lex Luger | July 11, 1987 | Great American Bash | Greensboro, NC | 1 | 138 | 137 | This was a steel cage match. | |
| 36 | Dusty Rhodes | November 26, 1987 | Starrcade | Chicago, IL | 1 | 141 | 140 | This was a steel cage match. | |
| — | Vacated | April 9, 1988 | — | — | — | — | — | Dusty Rhodes was stripped of the title and suspended for 120 days for attacking NWA President Jim Crockett. | |
| 37 | Barry Windham | May 13, 1988 | House show | Houston, TX | 1 | 283 | 282 | Defeated Nikita Koloff in a tournament final for the vacant title. | |