| Helix | community in NW Davie County. |
| Hell Pocosin | a loam-filled pocosin in NW Onslow County between Purgatory Pocosin and the head of New River. |
| Hell Swamp | E Beaufort County N of Pungo Creek. |
| Hell Swamp | central Duplin County between North Prong Horse Branch and West Prong Horse Branch. |
| Hell's Half Acre | See Providence. |
| Helton | community in N Ashe County. Alt. 2,600. Site of iron forges, 1807-57. |
| Helton Creek | rises in N central Ashe County and flows SE into North Fork New River. |
| Helton Township | NE Ashe County. |
| Hembys Bridge | community in W Union County. Inc. 1998. |
| Hemlock | community in W Ashe County. |