| Middle Mountain | N Buncombe County between Frosty Knob and Bruce Knob. |
| Middle Mountain | NE Buncombe County between Flat Creek and North Fork [Swannanoa River]. |
| Middle Mountain | E Mitchell County between Stony Valley and Soapstone Branch. |
| Middle Mountain | S Transylvania County between South Prong and the head of East Fork French Broad River. |
| Middle Peachtree Creek | rises in central Swain County and flows S into Peachtree Creek. |
| Middle Prong | rises in NE Pamlico County on the N side of Goose Creek Island and flows N into Pamlico River. |
| Middle Prong of Little River | See Perry Creek. |
| Middle Prong [Roaring River] | is formed in N Wilkes County by the junction of Basin and Lovelace Creeks. It flows SE to join North Prong [Roaring River] in forming Roaring River. |
| Middle Prong [West Fork Pigeon River] | is formed in S Haywood County by the junction of Haywood Gap Stream and Buckeye Creek and flows N into West Fork Pigeon River. |
| Middle Ridge | W Haywood County in Great Smoky Mountains National Park, extends SE from Canadian Top, center near lat. 35°38'20" N., long, 83°05'35" W., between Upper Double Branch and Lower Double Branch. |