For the majority of its length, it forms part of Old Hickory Boulevard, with the rest known as Bell Road.

After it intersects Granny White Pike, Old Hickory Boulevard goes north of Brentwood and then crosses I-65 at exit 74.

It continues through more residential area until the intersection with US 31A/US 41A (Nolensville Pike).

Just east of this intersection, State Route 254 leaves Old Hickory Boulevard and becomes Bell Road, whence it continues as Bell Road past I-24 exit 59 to US 41/US 70S (Murfreesboro Pike).

From that intersection, Bell Road continues on without a designation.