| Ellison Creek | rises in SW Forsyth County and flows SW into Yadkin River. |
| Elm City | town in N Wilson County. Alt. 131. Inc. 1873 as Toisnot, and post office est. there, succeeding nearby post office at Joyner's, which see. Named changed to Elm City, 1891; back to Toisnot, 1895; and again to Elm City, 1913. |
| Elm Swamp | See Corapeake Swamp. |
| Elmer | community in W Yancey County served by post office, 1881-1907. |
| Elmira Crossroads | community in SE Pitt County. |
| Elmore | community in S central Scotland County formerly called Elmores Crossroads. |
| Elmore Branch | rises in E Macon County and flows S into Rabbit Creek. |
| Elmores Crossroads | community in SE Gaston County. |
| Elmores Crossroads | See Elmore. |
| Elmwood | community in E central Iredell County. Alt. 836. Named for elm trees in the vicinity. |