In this study, we evaluate six distinct types of pavement distress using the Pavement Condition Index (PCI) rating: raveling, rutting, cracking (including alligator, transverse, and longitudinal cracks), shoving, patching, and potholes. The severity levels of these distress types are utilized for classification, and these levels are subsequently converted into PCI values. Our methodology incorporates a thorough analysis, considering various variables such as average daily traffic (ADT), land-use classification, number of lanes, road width and length, pavement age, road alignment, vehicle type, and weather conditions in Berzhite, Tirana, Albania. To predict PCI values, we employ an artificial neural network (ANN) model due to its versatility in handling diverse inputs. Key performance metrics, including R-squared, mean squared error, and mean absolute error, are used for model assessment. Notably, Model 2, featuring two hidden layers, exhibits superior performance over Model 1. However, due to size constraints in our testing and validation datasets, the models’ accuracy is somewhat limited. Looking ahead, future directions for our research involve expanding the dataset to enhance model accuracy and incorporating advanced features to capture a more complex comprehension of pavement conditions.