Abbotts Creek starts in Kernersville, NC in Forsyth County and flows into High Rock Lake near Lexington, NC in Davidson County just north of Hwy 47.

The section of High Rock Lake that is officially Abbotts Creeks ends near the Hwy 8 causeway, in Southmont, NC.

The median flow at Lexington ranges from 50 to 200 cubic feet per second.

The upper sections of the lake at Abbotts Creek do not have lake front properties and are considered prime area for sports fishing, particularly largemouth bass and catfish.

The lake, up to the high water mark is under the control of Alcoa and is managed under contract granted by the US government.