| Fountainshead | town inc. 1818 and authorized to be laid out on the Pee Dee River in Anson County on the lands of John and James Permenter, 11 mi. E of Wadesboro. No evidence exists that the town was est. See also Permetter Creek. |
| Four Corners | community in NW Davie County. In 1924-25 a gasoline station and a grocery store were built at the rural crossroad, which was given the name by the owners. |
| Four Diamond Ridge | mountain in NE Avery County. |
| Four Forks | community in central Pasquotank County. |
| Four Oaks | town in W Johnston County. Settled about 1885; inc. 1889. Named for four oaks growing from the stump of a tree that had been cut down in an opossum hunt in the yard of K. L. Barbour, first to build a house there. Alt. 208. |
| Fourmile Branch | rises in S Buncombe County and flows NW into French Broad River ½ mi. S of The Lagoon. |
| Fourmile Branch | rises in central Davidson County and flows S into Flat Swamp Creek. |
| Fourmile Creek | rises in SE Mecklenburg County and flows SW into McAlpine Creek. |
| Fourth Creek | rises in W Iredell County and flows E into Rowan County, where Third and Fourth Creeks join before entering South Yadkin River. It is the fourth creek in a series of creeks crossed by early settlers from Salisbury. The name appears on the Collet map, 1770. A settlement on the creek about 1750 later became the city of Statesville, which grew up around Fourth Creek (Presbyterian) Church. |
| Fourway | community in S Greene County. Community took the name of a filling station built there in the late 1920s or early 1930s. |