| Regional Tournament History |
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| 2024 |
| Class: 3A Area: 11 | | Area | Piedmont 82-28 Saks | | Area | Piedmont 62-38 Weaver | | Region NE Championship | | Sub-Regional | Piedmont 56-38 J.B. Pennington | | Regional | Piedmont 24-72 Plainview |
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| 2023 |
| Class: 3A Area: 11 | | Area | Piedmont 46-23 Walter Wellborn | | Area | Piedmont 63-25 Saks | | Region NE Championship | | Sub-Regional | Piedmont 50-66 Glencoe |
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| 2022 |
| Class: 3A Area: 11 | | Area | Piedmont 58-44 Pleasant Valley | | Area | Piedmont 51-60 Ohatchee | | Region NE Championship | | Sub-Regional | Piedmont 42-46 Childersburg |
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| 2021 |
| Class: 3A Area: 11 | | Area | Piedmont 53-36 Weaver | | Area | Piedmont 39-47 Ohatchee | | Region NE Championship | | Sub-Regional | Piedmont 46-57 Childersburg |
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| 2020 |
| Class: 3A Area: 11 | | Area | Piedmont 40-34 Saks | | Area | Piedmont 32-52 Pleasant Valley | | Region NE Championship | | Sub-Regional | Piedmont 37-77 Pisgah |
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| 2019 |
| Class: 3A Area: 11 | | Area | Piedmont 40-41 Pleasant Valley |
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| 2018 |
| Class: 3A Area: 10 | | Area | Piedmont 38-35 Pleasant Valley | | Area | Piedmont 50-71 Glencoe | | Region NE Championship | | Sub-Regional | Piedmont 49-55 Geraldine |
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| 2017 |
| Class: 3A Area: 10 | | Area | Piedmont 34-52 Glencoe | | Region NE Championship | | Sub-Regional | Piedmont 41-50 Walter Wellborn |
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| 2016 |
| Class: 3A Area: 12 | | Area | Piedmont 48-53 Walter Wellborn |
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| 2015 |
| Class: 3A Area: 12 | | Area | Piedmont 0-0 Walter Wellborn | | Area | Piedmont 48-37 Pleasant Valley | | Region Championship | | Sub-Regional | Piedmont 35-44 Glencoe |
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| 2014 |
| Class: 3A Area: 10 | | Area | Piedmont 42-47 Saks |
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| 2013 |
| Class: 3A Area: 10 | | Area | Piedmont 71-24 Weaver | | Area | Piedmont 58-37 White Plains | | Region NE Championship | | Sub-Regional | Piedmont 65-49 Glencoe | | Regional | Piedmont 34-41 Holly Pond |
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| 2012 |
| Class: 3A Area: 9 | | Area | Piedmont 71-19 Weaver | | Area | Piedmont 52-57 Saks | | Region NE Championship | | Sub-Regional | Piedmont 40-50 Hokes Bluff |
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| 2011 |
| Class: 3A Area: 9 | | Area | Piedmont 51-17 Weaver | | Area | Piedmont 48-51 Saks |
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| 2010 |
| Class: 3A Area: 10 | | Area | Piedmont 65-31 Pleasant Valley | | Area | Piedmont 51-60 Glencoe | | Region NE Championship | | Sub-Regional | Piedmont 38-49 Altamont |
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| 2009 |
| Class: 3A Area: 10 | | Area | Piedmont 59-40 White Plains | | Area | Piedmont 43-48 Glencoe | | Region NE Championship | | Sub-Regional | Piedmont 37-51 Altamont |
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| 2008 |
| Class: 2A Area: 12 | | Area | Piedmont 67-20 Pleasant Valley | | Area | Piedmont 43-38 Sand Rock | | Region NE Championship | | Sub-Regional | Piedmont 68-56 Section | | Regional | Piedmont 63-48 Ohatchee | | Regional Finals | Piedmont 0-0 Ider |
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| 2007 |
| Class: 2A Area: 12 | | Area | Piedmont 34-33 White Plains | | Area | Piedmont 36-54 Sand Rock | | Region NE Championship | | Sub-Regional | Piedmont 39-57 Section |
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| 2006 |
| Class: 3A Area: 10 | | Area | Piedmont 0-0 Sardis | | Area | Piedmont 34-51 Litchfield |
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| 2005 |
| Class: 3A Area: 10 | | Area | Piedmont 24-43 Sardis |
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| 2004 |
| Class: 3A Area: 10 | | Area | Piedmont 0-0 Litchfield |
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| 2002 |
| Class: 3A Area: 12 | | Area | Piedmont 33-61 Glencoe |
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| 2001 |
| Class: 3A Area: 12 | | Area | Piedmont 57-76 Hokes Bluff |
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| 2000 |
| Class: 3A Area: 9 | | Area | Piedmont 84-64 Pleasant Valley | | Area | Piedmont 73-26 Randolph County | | Region NE Championship | | Sub-Regional | Piedmont 54-51 Ashville | | Regional | Piedmont 45-69 Pisgah |
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| 1998 |
| Class: 3A Area: 12 | | Area | Piedmont 29-72 Litchfield |
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| 1997 |
| Class: 3A Area: 12 | | Area | Piedmont 39-61 Glencoe |
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| 1996 |
| Class: 3A Area: 13 | | Area | Piedmont 60-48 Pleasant Valley | | Area | Piedmont 44-74 Weaver | | Region NE Championship | | Sub-Regional | Piedmont 48-53 Litchfield |
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| 1995 |
| Class: 3A | | Sub-Regional | Piedmont 46-57 D.A.R. |
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| 1994 |
| Class: 4A Area: 13 | | Area | Piedmont 30-46 Hokes Bluff |
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| 1993 |
| Class: 4A Area: 13 | | Area | Piedmont 0-0 Hokes Bluff |
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| 1992 |
| Class: 3A Area: 9 | | Area | Piedmont 0-0 Moody | | Area | Piedmont 53-46 Pleasant Valley | | Region S3 Championship | | Sub-State | Piedmont 58-41 D.A.R. | | Sub-State Finals | Piedmont 0-0 Hanceville | | SS3 | Piedmont 56-78 Francis Marion |
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| 1991 |
| Class: 3A Area: 9 | | Area | Piedmont 60-36 Moody | | Area | Piedmont 55-44 Pleasant Valley | | Region S3 Championship | | Sub-State | Piedmont 52-67 D.A.R. |
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| 1990 |
| Class: 3A Area: 9 | | Area | Piedmont 0-0 | | Area | Piedmont 39-44 Pleasant Valley | | Region Championship | | Area | Piedmont 0-0 | | Area | Piedmont 55-56 Alexandria | | Region S3 Championship | | Sub-State | Piedmont 31-72 Crossville | | Sub-State | Piedmont 42-65 Hokes Bluff |
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| 1989 |
| Class: 3A Area: 9 | | Area | Piedmont 62-27 Ashville | | Area | Piedmont 43-69 Pleasant Valley | | Region S3 Championship | | Sub-State | Piedmont 52-59 D.A.R. |
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| 1988 |
| Class: 4A Area: 11 | | Area | Piedmont 58-54 Alexandria | | Area | Piedmont 0-0 | | Region S3 Championship | | Sub-State | Piedmont 54-44 Boaz | | Sub-State Finals | Piedmont 46-64 Hokes Bluff |
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| 1987 |
| Class: 4A Area: 12 | | Area | Piedmont 0-0 Munford | | Area | Piedmont 0-0 | | Region S3 Championship | | Sub-State | Piedmont 46-70 Hokes Bluff |
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| 1984 |
| Class: 2A Area: 8 | | 1 | Piedmont 46-37 Hokes Bluff | | Semi | Piedmont 45-37 Moody | | Finals | Piedmont 0-0 St. Clair County |
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| 1983 |
| Class: 2A Area: 8 | | 1 | Piedmont 45-44 Moody |
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| 1982 |
| Class: 2A Area: 8 | | Semi | Piedmont 49-64 St. Clair County |
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| 1981 |
| Class: 2A Area: 8 | | Semi | Piedmont 19-35 Ashville |
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| 1980 |
| Class: 2A Area: 8 | | Semi | Piedmont 31-57 Munford |
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| 1979 |
| Class: 2A Area: 8 | | Semi | Piedmont 25-55 Ashville |
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