| Little Mountain Creek | rises in N Richmond County and flows SW into Big Mountain Creek. |
| Little Mountain Creek | rises in NE Stanly County and flows SE into Mountain Creek. |
| Little Mountain Creek | rises in S Yancey County and flows SE into South Toe River. |
| Little Mud Creek | rises in W Henderson County and flows NE into Mud Creek. |
| Little Mulberry Creek | approx. 5 mi. long, rises in Pisgah National Forest, N Caldwell County, and flows first SE then SW into Mulberry Creek. |
| Little Neatman Creek | rises in S Stokes County and flows SW into Neatman Creek. |
| Little Nettle Branch | rises in NW Haywood County and flows N into Big Creek. |
| Little New Mountain | central Buncombe County E of Wilson. |
| Little Nigger Head | peak in N Clay County between Tusquitee Gap and Tuni Creek. In 2003 state legislature directed county to rename peak. |
| Little Northeast Creek | rises in NE Onslow County and flows SW into Northeast Creek. |