Pikeville, NC has a population of 809 and is the 16,526th largest city in the United States. The population density is 1,075 per sq mi which is 494% higher than the North Carolina average and 1087% higher than the national average. The median age in Pikeville is 39 which is approximately 2% higher than the North Carolina average of 38. In Pikeville, 51% of the population over 15 years of age are married, 96% speak English and 3% speak Spanish. 65% of Pikeville residents were born in North Carolina, 31% were born out of state, 1% were born outside of the United States and 4% were foreign born.