Formed in 1790, Patrick County is named for the Commonwealth of Virginia's first governor, Patrick Henry, who lived in neighboring Henry County. Located along the border of North Carolina where the Blue Ridge Mountains of the Appalachian Range cross the state line, the "Free State of Patrick" is half piedmont and half mountain plateau. This dividing geographic feature is reflected in the mountain people of Scots-Irish and German descent along with English living below the mountain heights. This divergent population produced tobacco magnate R. J. Reynolds; Civil War general J. E. B. Stuart; Virginia governor Gerald Baliles; Virginia's highest-elected female, former attorney general Mary Sue Terry; and World Series pitcher Brad Clontz.
Historian Thomas D. "Tom" Perry was born in Mount Airy, North Carolina, and grew up just over the border in Ararat, Patrick County, Virginia, where Civil War General J. E. B. Stuart, Reverend Bob Childress "The Man Who Moved A Mountain," and Orleana Hawks Puckett, the famous mid-wife on the Blue Ridge Parkway. Perry has written or published over thirty books on regional history focusing on the Civil War. His latest book Beyond Mayberry: A Memoirs of Andy Griffith and Mount Airy North Carolina.