| West Prong [Glady Fork] | rises in S Transylvania County and flows SE and then NE to join South Prong [Glady Fork] in forming Glady Fork. Also known as Galloway Creek. |
| West Prong [Hickory Fork] | rises in N Madison County and flows SE into Hickory Fork. |
| West Ridge Branch | rises in N Transylvania County and flows SW into South Fork Mills River. |
| West Rockingham | unincorporated outskirts of town of Rockingham, W Richmond County. |
| West Sanford Township | former township in W central Lee County, now township no. 6. |
| West Swan Creek | rises in E Wilkes County and flows NE to join East Swan Creek in forming Swan Creek. |
| West Tarboro | former town in central Edgecombe County on the NW limits of Tarboro. Inc. 1903. Charter repealed in 1909, when it became a part of Tarboro. A former West Tarboro community on the SW limits of Tarboro was inc. in 1893 and the name was changed to Hilma. See also Farrar. |
| West Thorofare Bay | NE Carteret County W of Cedar Island and adjacent to Long Bay. Connected with Thorofare Bay via Thorofare, a channel forming the S boundary of Cedar Island. |
| Westbrook | community in SE Bladen County. Named for early colonial family of Westbrook. |
| Westbrooks Township | N Sampson County. |