SR 264 begins at an intersection with US 78/SR 10 (Stone Mountain Highway) southwest of Snellville.

Here, the roadway continues as Killian Hill Road SW. Just after its western terminus, the route runs along the west side of the Mountain View Village Shopping Center.

The road curves to the southeast and crosses Jacks Creek.

At its eastern terminus, the roadway continues as Zoar Road SW.

The route is known as Bethany Church Road for its entire length.