| Zillicoah | See French Broad River. |
| Zilphy Creek | rises in S central Stokes County and flows E into Dan River. |
| Zion | community in SW Lincoln County served by post office, 1900-1901. |
| Zion | community in SW Yadkin County served by post office, 1856-95. |
| Zionville | community in N Watauga County on Cove Creek. Alt. 3,159. |
| Zircon Mountain | S Henderson County near Freeman Creek. |
| Zirconia | community in S Henderson County. Alt. 2,084. Named for zircon mines operated there in the 1880s. Zircon discovered there in 1869. |
| Zoar | community in SE Union County near Lanes Creek. Served by post office, 1876-1900. |
| Zorah | community in NE Craven County served by post office, 1888-1904. Now known as Caton for David Caton, donor of land for local school. |