South Central Appalachia
North Carolina
- Alexander
- Alleghany
- Ashe
- Avery
- Buncombe
- Burke
- Caldwell
- Catawba
- Cherokee
- Clay
- Cleveland
- Davie
- Forsyth
- Graham
- Haywood
- Henderson
- Jackson
- McDowell
- Macon
- Madison
- Mitchell
- Polk
- Rutherford
- Stokes
- Surry
- Swain
- Transylvania
- Watauga
- Wilkes
- Yadkin
- Yancey
Tennessee
- Bledsoe
- Blount
- Bradley
- Cannon
- Carter
- Cocke
- Coffee
- Cumberland
- De Kalb
- Franklin
- Greene
- Grundy
- Hamblen
- Hamilton
- Hawkins
- Jefferson
- Johnson
- Knox
- Lawrence
- Lewis
- Loudon
- McMinn
- Marion
- Meigs
- Monroe
- Polk
- Putnam
- Rhea
- Roane
- Sequatchie
- Sevier
- Smith
- Sullivan
- Unicoi
- Van Buren
- Warren
- Washington
- White
Virginia
- Alleghany + Covington city
- Bath
- Bland
- Botetourt
- Carroll + Galax city
- Craig
- Floyd
- Giles
- Grayson
- Henry + Martinsville city
- Highland
- Montgomery + Radford city
- Patrick
- Pulaski
- Rockbridge + Buena Vista city + Lexington city
- Smyth
- Washington + Bristol city
- Wythe