| Elkin River | rises in NE Wilkes County and flows SE across the SW corner of Surry County and into Yadkin River on the Surry-Yadkin county line near the town of Elkin. Appears on the Collet map, 1770. |
| Elkin Township | SW Surry County. |
| Elkinsville | See Elkton. |
| Elkland | See Todd. |
| Elko | community in N Stokes County served by post office, 1882-1904. |
| Elks Crossroads | See Todd. |
| Elkton | community in S Bladen County. Alt. 90. |
| Elkton Swamp | rises in S Bladen County and flows S into Brown Marsh Swamp. |
| Elkville | community in SW Wilkes County on Yadkin River. Alt. 1,200. |
| Elkwallow Knob | NW Mitchell County between Leatherman Fork and Bearwallow Creek. |