| Tomahawk Creek | rises in W Forsyth County and flows SE into Stewarts Creek, which see. |
| Tomahawk Creek | is formed in S Sampson County by the junction of Little Tomahawk and Big Tomahawk Creeks and flows W into South River. |
| Tomblin Branch | rises in E central Brunswick County and flows NE into Lewis Swamp. |
| Tomcreek | See Tom's Creek. |
| Tomkins Knob | See Thompkins Knob. |
| Tommy Branch | rises in S Macon County and flows NE into Wayah Creek. |
| Tommy Knob | N Graham County between the headwaters of Yellow Creek and Cables Cove Creek. |
| Tomotla | community in central Cherokee County. Alt. 1,575. |
| Toms Branch | rises in N Haywood County and flows S into Fines Creek. |
| Toms Creek | rises in NE Henderson County and flows SE into Mill Creek. |