| Elk Creek | community in W central Alleghany County. |
| Elk Creek | rises in E Watauga County and flows SE into W Wilkes County, where it enters Yadkin River. |
| Elk Creek | rises in NE Stokes County and flows S into Dan River. |
| Elk Creek | rises in E Watauga County and flows E and SE into Wilkes County, where it enters Yadkin River. |
| Elk Creek | rises in S central Ashe County and flows S into South Fork New River on the Ashe-Watauga county line. |
| Elk Creek | rises in W Alleghany County and flows N into New River. |
| Elk Fork | rises in SW Yancey County and flows NE into Little Creek. |
| Elk Hollow Branch | rises in W Avery County and flows E into Roaring Creek. |
| Elk Hollow Ridge | W Avery County. |
| Elk Knob | N Graham County between Tuskeegee Creek and Sawyer Creek. |