Geography right|210px|thumb|Courthouse Square in Pikeville Pikeville is located at (35.6056232, -85.1888499). The city is situated in the northern half of the Sequatchie Valley, a deep, narrow, and fertile valley that presents as a large rupture in the southern Cumberland Plateau. The walls of the plateau, namely Walden Ridge and Little Mountain, rise prominently to the east and west, respectively. The Sequatchie River passes through the eastern section of Pikeville.
Geography right|210px|thumb|Courthouse Square in Pikeville Pikeville is located at (35.6056232, -85.1888499). The city is situated in the northern half of the Sequatchie Valley, a deep, narrow, and fertile valley that presents as a large rupture in the southern Cumberland Plateau. The walls of the plateau, namely Walden Ridge and Little Mountain, rise prominently to the east and west, respectively. The Sequatchie River passes through the eastern section of Pikeville.