| Buffalo Creek | rises in E Wake County and flows SE into Johnston County, where it enters Little River. |
| Buffalo Creek | rises in S Warren County and flows S into Fishing Creek. |
| Buffalo Creek | rises in S Watauga County and flows SE into Caldwell County. |
| Buffalo Creek | See Back Creek. |
| Buffalo Creek | See Irish Buffalo Creek. |
| Buffalo Creek | See Warrensville. |
| Buffalo Ford | community in SE Randolph County served by post office, 1850-1904. Known as Buffaloford after 1894. |
| Buffalo Island | swampy land formation on Potecasi Creek in central Hertford County. |
| Buffalo Island Creek | rises in N Rockingham County and flows SE into Dan River. |
| Buffalo Knob | a stony elevation on the Cleveland-Lincoln county line. |