Long-term PM2.5 exposure has been reported to be associated with various adverse health outcomes. However, most ground monitors are located in urban areas, leading to a potentially biased representation of the true regional PM2.5 levels. To facilitate epidemiological studies, accurate estimates of spatiotemporally continuous distribution of PM2.5 concentrations are essential. Satellite-retrieved aerosol optical depth (AOD) has been widely used for PM2.5 concentration estimation due to its comprehensive spatial coverage. Nevertheless, an inherent disadvantage of current AOD products is their coarse spatial resolutions. For instance, the spatial resolutions of the Moderate Resolution Imaging Spectroradiometer (MODIS) and the Multiangle Imaging SpectroRadiometer (MISR) are 10 km and 17.6 km, respectively. In this paper, a new AOD product with 1 km spatial resolution retrieved by the multi-angle implementation of atmospheric correction (MAIAC) algorithm was used. A two-stage model was developed to account for both spatial and temporal variability in the PM2.5-AOD relationship by incorporating the MAIAC AOD, meteorological fields, and land use variables as predictors. Our study area is in the southeastern US, centered at the Atlanta Metro area, and data from 2001 to 2010 were collected from various sources. The model was fitted for each year individually, and we obtained model fitting R2 ranging from 0.71 to 0.85, MPE from 1.73 to 2.50 g m3, and RMSPE from 2.75 to 4.10 g m3. In addition, we found cross validation R2 ranging from 0.62 to 0.78, MPE from 2.00 to 3.01 g m3, and RMSPE from 3.12 to 5.00 g m3, indicating a good agreement between the estimated and observed values. Spatial trends show that high PM2.5 levels occurred in urban areas and along major highways, while low concentrations appeared in rural or mountainous areas. A time series analysis was conducted to examine temporal trends of PM2.5 concentrations in the study area from 2001 to 2010. The results showed that the PM2.5 levels in the study area followed a generally declining trend from 2001 to 2010 and decreased about 20 during the period. However, there was an exception of an increase in year 2005, which is attributed to elevated sulfate concentrations in the study area in warm months of 2005. An investigation of the impact of wild and prescribed fires on PM2.5 levels in 2007 suggests a positive relationship between them.