Perfluorooctanoic acid (PFOA) contamination in water sources poses significant environmental and health concerns. The kinetic, equilibrium, and thermodynamic features of PFOA adsorption in the existence of natural organic matter (NOM) were thoroughly investigated in this work using granular activated carbon (GAC) modified by dielectric barrier discharge (DBD) plasma. The impacts of DBD plasma parameters on the adsorption process were systematically examined. The results demonstrated that GAC modified by DBD plasma exhibited enhanced adsorption performance for PFOA, even in the presence of NOM. The optimal condition for plasma-treated GAC was achieved with 20 min of plasma treatment time and 100 W of plasma power, resulting in 92% PFOA removal efficiency in deionized water (DIW) and 97% removal efficiency in Chao Phraya River water (CPRW). A kinetic investigation using the pseudo-first-order model (PFOM), the pseudo-second-order model (PSOM), and the Elovich model (EM) indicated that plasma treatment time and NOM presence influenced the adsorption capacity and rate constants of PFOA with the PSOM having emerged as the most fitting kinetic model. The Langmuir isotherm model indicates monolayer adsorption of PFOA on plasma-treated GAC, with higher maximum adsorption capacity while NOM is present. The Redlich–Peterson and Sips isotherm models indicated varying adsorption capacity and heterogeneity in the adsorption system. The Sips model was determined as the most fitting isotherm model. Furthermore, the favorable and spontaneous character of PFOA adsorption onto plasma-treated GAC was validated by thermodynamic analysis, with endothermic heat absorption during the process. Overall, this comprehensive investigation provides valuable insights into the adsorption characteristics of PFOA in the existence of NOM using GAC modified by DBD plasma.