| West Haven | community in S Buncombe County on the E limit of Pisgah National Forest. |
| West Hillsborough | unincorporated outskirts of town of Hillsborough, central Orange County. |
| West Howellsville Township | E Robeson County. |
| West Jefferson | town in central Ashe County. Inc. 1915. Named for its location in relation to Jefferson, the county seat. Produces hosiery and furniture. |
| West Jefferson Township | central Ashe County. |
| West Knob | on the Buncombe-Henderson county line between Double Knob and Graham Mountain. |
| West Littleton Branch | rises in E Warren County near the town of Littleton and flows NW into Little Stonehouse Creek. |
| West Monroe | former town in central Union County. Inc. 1909 as Icemorlee, a mill village named for three major stockholders: Iceman, Morrow, and Lee. Later renamed. Merged with the city of Monroe in 1949. |
| West Mountain | W Cherokee County between Camp and Shoal Creeks. |
| West Nelson Creek | rises in NE Cherokee County and flows SE into Valley River. |