In 1952, NC 68 was extended north to its current terminus with the then new US 220 bypass, replacing part of old US 220 (Sylvania Road). Between 1950-1953, NC 68 was extended south to English Street. In 1956 or 1957, NC 68 was extended to its current southern terminus, sharing a concurrency with US 29A/US 70A, until 1991. In 1982, NC 68 was placed on new freeway connecting I-40 and bypassing the Piedmont Triad International Airport, its old alignment along Bull Road (today's Regional Road) a secondary road.