| Tom Hall Branch | rises in N Haywood County and flows W into Pigeon River. |
| Tom Jack Creek | rises in S Wake County and flows S into NE Lee County, where it joins Whiteoak Creek. |
| Tom Knob | W Watauga County near the head of Spice Creek. Alt. 4,293. |
| Tom Mann Creek | a bay on the N shore of Durant Island, central Dare County. |
| Tom Thumb Creek | rises on S slopes of High Peak in the Snowbird Mountains, NE Cherokee County, and flows SW and SE into Valley River approx. 3 mi. NE of Andrews. |
| Tom's Creek | rises in S Caswell County and flows S into Alamance County, where it enters Stony Creek. |
| Tom's Creek | community in central McDowell County served by post office, 1886-1905. |
| Tomahawk | community in S Sampson County. Settled about 1888. Alt. 99. |
| Tomahawk Branch | rises in NE Buncombe County and flows S into Lake Tomahawk then SW into Swannanoa River. |
| Tomahawk Branch | See Stewarts Creek. |