| Elams | community in NE Warren County between Walker Creek and Lizard Creek. Settled in 1880 and named for James Elam, local resident. Alt. 400. |
| Elbaville | community in E Davie County. Name derived from the first syllables of names of two local families, Ellis and Bailey. Post office est. 1870. Alt. approx. 808. |
| Elberon | community in S Warren County between Lees Branch and Buffalo Branch. Post office est. in 1897 but discontinued in 1954. |
| Elberta | community in W Moore County. A peach-growing center named for the Elberta peach. Alt. approx. 661. |
| Elbethel | community in SE Cleveland County. Named for El Bethel Methodist Church. |
| Elbow | community in central Columbus County served by post office, 1894-1910. |
| Elbow Branch | rises in N Swain County and flows NW into Hazel Creek. |
| Elbow Creek | rises in NW Cherokee County and flows S into Shuler Creek. |
| Elbow Landing | on Pungo River, E Beaufort County. |
| Elbow Ridge | N Swain County in Great Smoky Mountains National Park, a short spur extending W from Welch Ridge between Elbow Branch and Hazel Creek. |