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The company was founded on February 20, 2000, by twelve Nashville businessmen who wished to create a locally owned financial firm. In May 2002 the company went public on the NASDAQ with the symbol PNFP. Pinnacle gained naming rights for a new skyscraper in Downtown Nashville, The Pinnacle at Symphony Place, and the company leased 65,000 square feet (6,000 m 2 ) in the building, moving in during 2010.
On January 22, 2017, Pinnacle announced it was acquiring BNC Bank of High Point, North Carolina, which had branches in North Carolina, South Carolina and Virginia. The deal, worth $1.9 billion and completed June 16, 2017, gave Pinnacle operations in four states.
Pinnacle Financial Partners currently (as of December 31, 2017) has approximately US$22.2 billion in assets and has 115 offices.
As of December 31, 2022, Pinnacle Financial Partners operated 114 offices, including 48 in Tennessee, 37 in North Carolina, 23 in South Carolina, 10 in Virginia, 3 in Georgia and 2 in Alabama.
On June 17, 2021, Pinnacle announced its headquarters would move to four floors of a 37-story tower in Nashville Yards, and that the bank's name would appear on top of the building.
On July 25, 2025, Pinnacle announced its intent to merge with Synovus in an $8.6 billion all-stock deal, thus creating the 28th largest lender in the US, with $116 billion in assets; the transaction was completed January 2, 2026, with the Synovus name to be used until 2027, when all branches will take the Pinnacle name.