 US 19 has a diamond interchange with SR 654 before meeting the eastern end of US 19 Business (Trail of the Lonesome Pine) east of Big Cedar Creek.US 19 continues northeast as the Trail of the Lonesome Pine, which has an intersection with SR 80 (Hayters Gap Road) at the hamlet of Smithfield.The two highways run concurrently to Rosedale, where SR 80 heads north as Red Bud Highway.