| Rush Branch | rises in NE Buncombe County and flows SE into Broad River. |
| Rush Branch | rises in NW Henderson County and flows NE into North Fork Mills River. |
| Rush Branch | rises in W Watauga County and flows SW into Watauga River. |
| Rush Creek | rises in NW Caldwell County and flows SW into Mulberry Creek. |
| Rush Fork | rises in E Haywood County and flows SW into Crabtree Creek. |
| Rush Fork Gap | E Haywood County on the head of James Branch. |
| Rush Mountain | S Henderson County between Huckleberry Ridge and McAlpine Mountain. |
| Rush Mountain | S Lincoln County. Named for a local family. |
| Rushing | community in SE Union County served by post office, 1883-1903. |
| Rusk | community in SW Surry County served by post office, 1851-1951. |