High Quality Content by WIKIPEDIA articles! U.S. Route 19 in North Carolina traverses approximately 189 miles (304 km) across Western North Carolina; from the Georgia state line, at the community of Bellview, to the Tennessee state line, at the town of Elk Park. The designation from US 19 to U.S. Route 19E happens in Cane River, where US 19W splits from the main road towards Erwin, Tennessee.