Pikeville is the county seat of Bledsoe County, located along U.S. Highway 127 near Fall Creek Falls State Park. Located in the northern region of the beautiful Sequatchie Valley, Pikeville offers much in the way of natural beauty and recreational enjoyment. Fall Creek Falls State Park is home to the largest waterfall east of the Rocky Mountains, and includes 25,000 acres of rugged parkland with fifty miles of hiking, biking, and backpacking trails, fishing, wildlife viewing, cave tours, and special events. In addition, there are numerous golf courses located in the Pikeville area. There are lots of small town fairs and festivals in the region, including many at Fall Creek Falls State Park. The Bluegrass Festivals held in the Nine Mile Community of Bledsoe county are enjoyed throughout the summer and fall months. Horse shows are held at the Bledsoe County Community Complex in the spring, summer, and fall months. The 127 yard sale, the world's longest outdoor sale stretching 630 miles, is a well-known event held along Highway 127 which runs directly through Pikeville. The town of Pikeville is also home to an annual Octoberfest, usually held the first or second week of October.

With a mild climate and four distinct seasons southeast Tennessee is an ideal vacation destination. Summers are usually warm, with cooler temperatures in the high mountains, and winters are mostly mild. The principal source of moisture comes from the Gulf of Mexico to the south, which results in a gradual decrease of precipitation from south to north. Severe weather is rare since the state is east of the center of tornado activity, south of most winter blizzard conditions and too far inland for hurricanes.