[5] Via the Yadkin it is part of the watershed of the Pee Dee River, which flows to the Atlantic Ocean.

"[6] The Mitchell rises in eastern Alleghany County in the Blue Ridge Mountains, and flows generally southeastwardly through Surry County, where it joins the Yadkin River about 5 mi (8 km) northeast of Elkin at the community of Burch.

[5] In Surry County, it collects the short South Fork Mitchell River, which has also been known historically as "Mill Creek," "South Fork Creek," and "South Fork Mitchells River.

"[7] The river is a popular destination for anglers who catch Brown, Brook, and Rainbow trout.

This article related to a river in North Carolina is a stub.