Lewis Fork Creek offers a 7-mile paddling section with Class II-III difficulty featuring tight passages, overhanging limbs, and fast shallow gravel bars, making it excellent for wet-weather runs with numerous Class II and III rapids.

Access points include SR 1304 in Purlear, NC and SR 1307 in Wilkes County, with approximately 6 navigation areas of interest along the route. An optional extended 0. 8-mile stretch on the South Prong is available by continuing to Route 1156 near US 421.