| Toot Hollow Branch | rises in central Swain County and flows S through Bryson City into Tuckasegee River. |
| Topnot | community in central Caswell County. A post office operated there, 1883-1936. |
| Topsail | community in S Pender County. Alt. 40. |
| Topsail Beach | town in SE Pender County on the Atlantic Ocean side of Topsail Island. Inc. 1963. Known prior to 1963 as New Topsail Beach. |
| Topsail Inlet | See Beaufort Inlet. |
| Topsail Island | E Pender County. Barrier beach lying between Topsail Sound and the Atlantic Ocean. Approx. 8½ mi. long. |
| Topsail Sound | extends NE from Mason Inlet, NE New Hanover County, across Pender County to Stump Inlet on the Onslow-Pender county line. It is separated from the Atlantic Ocean by a barrier beach. The sound, about 17 mi. in length, is filled with tidal-marsh islands. Named for the fact that local residents watched from there for the appearance of topsails of approaching vessels. |
| Topsail Township | SE Pender County. |
| Topsy | community in W Gates County served by post office, 1901-10. Alt. 33. Settled about 1870. |
| Topton | community in NE Cherokee County. Alt. 2,599. Named because it is at the top of a pass, Red Marble Gap. It is located very near the junction of Cherokee, Graham, and Macon Counties, and residents of all three counties consider themselves citizens of the community. |