| West Fork [Moses Creek] | rises in N Jackson County and flows SW to join East Fork [Moses Creek] in forming Moses Creek. |
| West Fork [Rube Creek] | rises in NW Watauga County and flows SE into Rube Creek. |
| West Fork [South River] | a short stream at the headwaters of South River in N central Carteret County. |
| West Haven | community in S Buncombe County on the E limit of Pisgah National Forest. |
| West Hillsborough | unincorporated outskirts of town of Hillsborough, central Orange County. |
| West Howellsville Township | E Robeson County. |
| West Jefferson | town in central Ashe County. Inc. 1915. Named for its location in relation to Jefferson, the county seat. Produces hosiery and furniture. |
| West Jefferson Township | central Ashe County. |
| West Knob | on the Buncombe-Henderson county line between Double Knob and Graham Mountain. |
| West Littleton Branch | rises in E Warren County near the town of Littleton and flows NW into Little Stonehouse Creek. |