Pineville is located in northern Bell County at (36.7620301, −83.6949176), along the Cumberland River, directly north of its water gap through Pine Mountain. U.S. Route 25E passes through the city, intersecting Kentucky Route 66 in downtown. U.S. Route 119 has its southern terminus at US 25E near the southern border of the city. By US 25E, it is south to Middlesboro and the north entrance of the Cumberland Gap tunnel, and it is northwest to Corbin and Interstate 75. US 119 leads northeast to Harlan.