| Pinnacle | mountain at the intersection of the Buncombe-McDowell-Yancey county lines. Alt. 5,665. Sometimes referred to as Blue Ridge Pinnacle to distinguish it from other mountains named Pinnacle. |
| Pinnacle | peak in NW Swain County on the NE end of Pinnacle Ridge. |
| Pinnacle | community in SW Stokes County. Alt. 1,085. Inc. 1901; charter repealed 1903. Originally known as Culler for Emanuel W. Culler, who owned part of the land on which a railroad station was built. The railroad began operation in 1888, and the post office there, 1880-1900, was known as Culler. The present name was adopted in 1900. |
| Pinnacle Branch | rises in S Macon County and flows E into Shope Fork. |
| Pinnacle Creek | rises in NW Swain County on Jenkins Trail Ridge and flows SW into Eagle Creek. |
| Pinnacle Gap | NE Buncombe County near Craggy Pinnacle in Great Craggy Mountains. |
| Pinnacle Knob | at the junction of Buncombe-McDowell-Yancey county lines. Alt. 5,665. |
| Pinnacle Knob | central Graham County between Sweetwater Creek and Mountain Creek. |
| Pinnacle Knob | SW Haywood County on the NE end of Pinnacle Ridge. |
| Pinnacle Knob | on Macon-Swain county line S of Brush Creek. |