| North Fork Ivy Creek | rises in NE Buncombe County and flows SW to join Dillingham Creek in forming Ivy Creek. Known also as Big Ivy Creek. |
| North Fork Jones Creek | rises in SW Anson County and flows E to join South Fork Jones Creek in forming Jones Creek. |
| North Fork Little River | rises in N Orange County and flows SE into NW Durham County, where it joins South Fork Little River in forming Little River. |
| North Fork Mitchell River | rises in NW Surry County and flows SE into Mitchell River. |
| North Fork Mountain Creek | rises in E Catawba County and flows SE to join South Fork in forming Mountain Creek. |
| North Fork Nahunga Creek | rises in W Duplin County and flows SE into Nahunga Creek. |
| North Fork New River | rises in N Watauga County and flows NE into Ashe County, where it joins South Fork New River on the Ashe-Alleghany county line to form New River. |
| North Fork of Rattle Snake Creek | rises in central Caswell County and flows NE to join South Fork of Rattle Snake Creek in forming Rattle Snake Creek. |
| North Fork Reddies River | rises in NW Wilkes County and flows SE to join Middle Fork Reddies River in forming Reddies River. |
| North Fork Rock Creek | rises in S Yancey County and flows SE to join Middle Fork Rock Creek in forming Rock Creek. |