| Ballou Hill | community near Balsam on Jones Creek in NE Jackson County. |
| Balls Creek | rises in E Catawba County and flows E into Catawba River. |
| Balls Creek Camp Ground | E Catawba County. Est. 1853, and trustees inc. 1861. Methodist. Camp meetings held there annually during the last week in August. |
| Balls Mountain | S Orange County at the head of Mountain Creek. |
| Balltown | See Bahama. |
| Balm | community in NE Avery County. |
| Balsam | town in NE Jackson County. Inc. in 1951, but not active in municipal affairs. Named for Balsam Mountains. Has highest standard-gauge railroad E of Rocky Mountains. Alt. 3,315. |
| Balsam Branch | rises in NE Swain County and flows SE into Raven Fork. |
| Balsam Cone | See Mount Craig. |
| Balsam Cone | mountain in S Yancey County between the head of Timber Creek and the head of Middle Creek. Alt. 6,611. |