The core streets of Crescent Heights were laid out ca. 1907-1909. Originally, the area was known as two distinct neighborhoods, Crescent Heights and Colonial Heights. Among the first white settlers in Mecklenburg County was Thomas Spratt. He built a home near the intersection of Randolph and Caswell Roads. Some of the homes were built on what was the former Vail Dairy Farm.
The neighborhood was first developed by F. C. Abbott and his Suburban Realty Company.