| Flattop Mountain Branch | rises in NW Yancey County and flows W into Tennessee, where it enters Spivey Creek. |
| Flatty Creek | See Big Flatty Creek. |
| Flatwood Gap | NW Macon County. Alt. 1,475. |
| Flatwoods, The | level land at the head of Shoal Creek in SW Henderson County. Settlers moved from nearby mountains into The Flatwoods in late nineteenth century. |
| Flax Creek | rises in SW Cherokee County and flows SE into Persimmon Creek. |
| Flay | community in W Lincoln County. |
| Flea Branch | rises in E Madison County and flows S into Laurel Creek. |
| Flea Mountain | central Cherokee County between Dockery and Cook Creeks. |
| Fleaback Mountain | S Clay County between Needmore Branch and Hothouse Branch. Alt. 3,165. |
| Fleetwood | community in S Ashe County. |