| North River Point | is the tip of S Camden Point, which extends into the mouth of North River. |
| North River Thorofare | between two groups of tidal-marsh islands in S Carteret County. |
| North Rock | island in Pamlico Sound, NE Carteret County N of Portsmouth Island. In 1795 the middle section of the island was submerged; the W end was called Great Shell Rock and the E end Little Shell Rock. |
| North Rocky Creek | rises in S Wilkes County and flows S into Rocky Creek. |
| North Rodanthe | See Rodanthe. |
| North Second Creek | is formed in NW Rowan County by the junction of Back and Withrow Creeks and flows NE into Yadkin River. Appears as Second Creek on the Collet map, 1770. Named because it was the second creek reached by settlers moving W from Salisbury, Grants Creek being the first. See also Withrow Creek. |
| North Shores | community on Pamlico River, W Beaufort County. |
| North Slope Ridge | N Transylvania County extends E between Joel Branch and Davidson River. |
| North Stinking Quarter Creek | rises in SE Guilford County and flows NE into Alamance County, where it enters Stinking Quarter Creek, which see. |
| North Toe River | rises in N Avery County and flows s, e, and S again across Avery into Mitchell County. It flows SW across Mitchell to the Mitchell-Yancey county line, where it joins South Toe River in forming Toe River. The last native elk shot in North Carolina is said to have been killed alongside North Toe River in 1781. |