| Lewis Creek | rises in E Henderson County and flows NW into Clear Creek. |
| Lewis Creek | rises in S Onslow County and flows NE into Morgan Bay. Mentioned in local records as early as 1744 as Lewis's Creek. |
| Lewis Creek | rises in N Pender County and flows NE into Northeast Cape Fear River. |
| Lewis Crossroads | community in N Halifax County. |
| Lewis Fork | community in SW Wilkes County on South Prong Lewis Fork Creek. Lewis Fork Baptist Church there was organized in 1792. |
| Lewis Fork Creek | is formed in SW Wilkes County by the junction of North Prong Lewis Fork Creek and South Prong Lewis Fork Creek and flows SE approx. 3 mi. into W. Kerr Scott Reservoir. See also Fort Hamby. |
| Lewis Fork Township | SW Wilkes County. |
| Lewis Gap | central Buncombe County N of Patton Mountain. |
| Lewis McDaires Knob | N Buncombe County on Lankford Mountain. See also McDaires Cove and Ridge. |
| Lewis Mountain | between Henderson Creek and Lewis Creek in E Henderson County. |