Individual provider Active NPI

Chloe Leora Jean Luke Walbourne, PA-C

  • Physician Assistant
  • Mullins, SC
National Provider Identifier
1023600590
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
Musc 2829 E Highway 76 Mullins
Mullins, SC 29574-2957
Phone
(843) 431-2000
NPI assigned
Feb 6, 2021
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

Musc 2829 E Highway 76 Mullins
Mullins, SC 29574-2957

Mailing address

3700 Highway 554
Loris, SC 29569-6528
Phone (843) 421-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901004242 SC Practitioner - Physician Assistant 3375949159 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

101 McLeod Health Blvd
Suite 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001

107 McLeod Health Blvd
Myrtle Beach, SC 29579-4477

115 McLeod Health Blvd
Myrtle Beach, SC 29579-4477

2845 E Hwy 76
Mullins, SC 29574-6037

3112 Casey St
Unit a
Loris, SC 29569-2858
Phone (843) 366-3920

3600 Sea Mountain Hwy
Suite B
Little River, SC 29566-8161
Phone (843) 366-3920

4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 777-7000

4000 Hwy 9 W
Suite 245
Little River, SC 29566-7833
Phone (843) 366-2940

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

800 E Cheves St
Florence, SC 29506-2650

800 E Cheves St
Florence, SC 29506-2652

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Jul 15, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 1, 2025 Accepting new patients
Carolina Family Care, Inc CurrentSince Jul 15, 2021 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 1, 2025 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

506 E Cheves St
#202
Florence, SC 29506
Phone (843) 777-5091

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2000

2835 E Highway 76
Ste 5
Mullins, SC 29574
Phone (843) 423-3739

2845 E Highway 76
Ste 3
Mullins, SC 29574
Phone (843) 431-2730

Interoperability endpoints

  • Direct secure messaging: cwalbourne368599@direct.musc.edu
  • Direct secure messaging: cwalbourne98659@directmcleodehealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1023600590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 HIGHWAY 554",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295696528",
            "telephone_number": "843-421-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUSC 2829 E HIGHWAY 76 MULLINS",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295742957",
            "telephone_number": "843-431-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBOURNE",
        "first_name": "CHLOE",
        "middle_name": "LEORA JEAN LUKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

Verify at the official NPI Registry.