Some of the subjects taught were Health and PE, Algebra, and English. The school started a football team in 1933, a marching band, and a girls and boys basketball team in 1947. In 1946, W. H. Pattillo, son of W. A. Pattillo, was appointed as principal after his father's retirement. The school added the twelfth grade building in 1949. With the help of government and state aid the school built vocational and science buildings from 1950-1953. The high school gained a new building with nine classrooms, a commercial department, and a library with a full time librarian and teacher in 1955.
R. H. Cherry was appointed as principal in 1960 when W. H. Pattillo resigned. Historically the school was fully integrated into the public school system in 1970. The W. A. Pattillo Alumni Association was formed in 1982. Mrs. Diane Kent was principal from 1984-1989. Then Mr. Raymond Privott was promoted to principal. By early May 1991 air conditioning was finally installed in the fourth grade building. Under superintendent Mr. David Bryant, and the complete merger of Tarboro City schools with Edgecombe County Schools in 1994, the Pattillo School philosophy of helping and guiding students remained the same. Mr. Timothy Pittman was promoted as principal in 1995.
The school was rebuilt after flooding in 1999 and is now W. A. Pattillo Middle School. The schools principal is Lauren Lampron and the assistant principal is Rashard Curmon. The principal resident is Mary Bridgers. Currently the middle school contains grades six through eight.