Signed along two segments that branch from NC 226: The first connecting the community of Little Switzerland; the second as a bypass west of Bakersville.

The first section, a two-lane mountain highway also known as the Diamondback by motorcycle enthusiasts, begins near Woodlawn, 1.2 miles (1.9 km) from US 221.

[3] Once on NC 226A, the first sign is a notice to truckers indicating steep winding road ahead, trucks not recommended.

Reaching Chestnut Grove Road, in Little Switzerland, the worst of the climb and curves is over, rising over 1,900 feet (580 m) from its start.

[4] The second section, a two-lane mountain highway, begins just north of Ledger, and goes northwest bypassing Bakersville.