| Mathis | community in SE Forsyth County. Named for a family that settled in the vicinity as early as 1757. |
| Matkin | community in SW Caswell County. Named in 1967 for a family long resident in the area when a plant of Burlington Industries opened there. A name was required for directing truck drivers to the rural location. |
| Matlock Bald | N Clay County on the N end of Johnson Ridge. Alt. 5,230. |
| Matlock Creek | rises in N Clay County and flows SE between Johnson and Julie Ridges into Tusquitee Creek. |
| Matney | community in W Watauga County on Craborchard Creek. |
| Matney Branch | rises in S Watauga County and flows N into East Fork [South Fork New River]. |
| Matrimony | community in N Rockingham County served by post office, 1881-94 and 1898-1903. |
| Matrimony Creek | rises in NW Rockingham County at the Virginia line and flows SE into Dan River. Named prior to 1728, when William Byrd recorded that it was "call'd so by an unfortunate marry'd man, because it was exceedingly noisy and impetuous." |
| Matt Branch | rises in NW Swain County and flows SE into Fontana Lake. |
| Matt Mountain | NW Swain County between Cable Branch and Fontana Lake. |