Smith Lake is a 21,000 acre lake with over 500 miles of shoreline. It has produced world record Spotted Bass. Smith Lake is a deepwater lake and is approximately 60 miles from Pikeville.

The Bear Creek lakes are 30 miles from Pikeville.
They abound with camping and fishing facilities.

The Tennessee River along with its TVA series of lakes and dams are within 65 miles of Pikeville.

Lake Tuscaloosa is a large recreational lake near Tuscaloosa.
It is located 60 miles from Pikeville.

Marion County Lake is a 40 acre lake for fishing and picnicking,
and is located only 2 miles from Pikeville.