DR. JACOB WALKER VAUGHT DO
NPI 1124607031
Pediatrics in North Charleston, SC
About Dr. Jacob Walker Vaught Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB WALKER VAUGHT DO (NPI 1124607031) is an individual pediatrics provider in North Charleston, South Carolina, licensed in South Carolina (94543) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in Charleston.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jacob Walker Vaught Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Medical Center
Acute Care Hospitals · Charleston, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Vaught's NPI number?
The NPI number for Jacob Vaught is 1124607031. It was assigned to this individual provider in the NPPES registry on April 7, 2021.
Where is Jacob Vaught located?
Jacob Vaught practices at 2750 Dantzler Dr Unit 102, North Charleston, SC 29406. The listed phone number is (843) 876-1818.
What is Jacob Vaught's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jacob Vaught enrolled in Medicare?
Yes. Jacob Vaught is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jacob Vaught accept?
Health plans from BlueCross BlueShield of South Carolina list Jacob Vaught as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jacob Vaught affiliated with any hospitals?
According to CMS data, Jacob Vaught is affiliated with Musc Medical Center.
When was this NPI record last updated?
The NPPES record for Jacob Vaught was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jacob Walker Vaught, DO · NPI 1124607031
Pediatrics physician in North Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since April 7, 2021.
## Identity
- **NPI:** 1124607031 (Entity type: Individual)
- **Enumerated:** April 7, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 94543 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2750 DANTZLER DR UNIT 102, North Charleston, SC 29406-9006
- **Phone:** (843) 876-1818
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Edward Via Col Of Osteo Medicine-Carolinas Campus, class of 2021
## Record status
- **NPPES last updated:** November 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124607031) · Data from the CMS NPPES public registry.