Individual provider Active NPI

Chloe Georgina Pinner, CPNP

  • Pediatric Nurse Practitioner
  • Fort Mill, SC
National Provider Identifier
1104491224
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
30758 Issued in SC
Practice address
704 Gold Hill Rd Ste 207
Fort Mill, SC 29715-8907
Phone
(803) 802-5900
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 30758 SC Primary
Pediatric Nurse Practitioner 363LP0200X 5014291 NC

Addresses

Primary practice location

704 Gold Hill Rd Ste 207
Fort Mill, SC 29715-8907

Mailing address

1928 Londonberry Dr
Rock Hill, SC 29730-7525
Phone (704) 891-5821

Other practice location 1

1656 Riverchase Blvd Ste 3400
Rock Hill, SC 29732-0273
Phone (803) 328-6281

Other practice location 2

13640 Steelecroft Pkwy Ste 210
Charlotte, NC 28278-7878
Phone (704) 512-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260618002147 NC Practitioner - Nurse Practitioner 0941772123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4435 Golf Acres Dr
Charlotte, NC 28208-5947

PO Box
Suite 19305
Charlotte, NC 28219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5014291NCMDPediatric Nurse Practitioner
30758SCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Past Accepting new patients
Charlotte Pediatric Clinic PastSince Nov 24, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chloe.pinner@184779146133508.direct.elationemr.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1104491224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 LONDONBERRY DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307525",
            "telephone_number": "704-891-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 GOLD HILL RD STE 207",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158907",
            "telephone_number": "803-802-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1656 Riverchase Blvd Ste 3400",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297320273",
            "country_code": "US",
            "telephone_number": "803-328-6281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13640 Steelecroft Pkwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282787878",
            "country_code": "US",
            "telephone_number": "704-512-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINNER",
        "first_name": "CHLOE",
        "middle_name": "GEORGINA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "30758",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5014291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.