| Butte Mountain | E Madison County between Holland Branch and Middle Fork. |
| Butter Gap | W Transylvania County between Stone Mountain and Cedar Rock Creek. |
| Buttermilk Creek | rises in S Caswell County and flows SE into Alamance County, where it enters Haw River. |
| Buttermilk Mountain | on Bradley Creek in NW Henderson County. |
| Butters | community in W Bladen County. Butters Lumber Company was located there. Alt. 111. |
| Butterwood Creek | rises in NW Halifax County and flows SW into Bear Swamp. |
| Butterwood Township | W central Halifax County. |
| Button Bay | a loam-filled bay in N Columbus County. |
| Button Branch | rises in NW Columbus County and flows SW into Dunn Swamp. |
| Buxton | community on Hatteras Island, SE Dare County. One of the most thickly populated sections of the Outer Banks. Formerly known as The Cape (for Cape Hatteras), but the post office was changed to Buxton, 1882. Named for Judge Ralph P. Buxton (1826-1900). |