| Ramsey Creek | rises in NW Northampton County and flows SE into Potecasi Creek. |
| Ramsey Gap | N Madison County at the head of Cascade Branch. |
| Ramsey Mountain | N Buncombe County N of Wolfpen Gap. |
| Ramsey's Mill | See Lockport. |
| Ramseytown Township | N Yancey County. |
| Ramsour's Mill | See Lincolnton. |
| Ramushawn River | appears on the Comberford map, 1657, in what is now Chowan County. Its identity is uncertain, but it lay between Yeopim River and Chowan River and may have been intended to represent the present Pembroke Creek. |
| Ranaleburg | community in SW Mecklenburg County served by post office, 1834-1902. Originally Randlesburg for Arthur Randolph Erwin, who opened a store and cotton gin there in 1834. Company B of 13th North Carolina Troops, known as "Ranalesburg Rifles," formed there during Civil War. Served by post office, 1851-1902. |
| Randall Gap | central Buncombe County near the headwaters of Ross Creek. |
| Randall Lake | on Big Creek in SE Macon County. |