| Rock Fork Branch | rises in SE Person County and flows SW into Deep Creek. |
| Rock Gap | SW Macon County at the head of Little Rock Branch. |
| Rock Hole Creek | rises in SW Stanly County and flows SE into Rocky River. Called Cucumber Creek on the Kerr map, 1882. |
| Rock Hollow | E Haywood County between Soapstone Gap and Sheep Mountain. |
| Rock Hollow Branch | rises in Rock Hollow in E Haywood County and flows NW into Crabtree Creek. |
| Rock House | See Sweezy Mountain. |
| Rock House Creek | rises in N Clay County and flows SW into Fires Creek. |
| Rock House Creek | rises in S Rockingham County and flows N into Dan River. Mentioned in local records as early as 1767. |
| Rock Landing | formerly a landing and supply point on Roanoke River in N Halifax County constructed before 1818 for the purpose of landing stone and building supplies to be used in the construction of Roanoke Canal, which see. |
| Rock Level | community in N Rockingham County served by post office, 1878-1903. Also spelled Rocklevel. |