The municipal seat is located in the village of Staro Nagoričane.

It largely corresponds to the historical and geographical region of Sredorek.

A particularly fine example of medieval Serbian ecclesiastical architecture is found in the municipality, in the form of the 10th century Church of St. George.

According to the 2021 North Macedonia census, this municipality has 3,501 inhabitants.

[1] Ethnic groups in the municipality: Staro Nagoričane is twinned with: