Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB WALKER VAUGHT, DO
ActiveDR. JACOB WALKER VAUGHT, DO is a Pediatrics healthcare provider located in NORTH CHARLESTON, South Carolina. NPI 1124607031 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · NORTH CHARLESTON, SC
Registration Details
- NPI Number
- 1124607031
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2021 (5.1699425122454 yrs)
- Last Updated
- Nov 17, 2025
- Licenses
-
94543 (SC)94543 (SC)
Practice Information
- Address
-
2750 DANTZLER DR UNIT 102NORTH CHARLESTON, SC, 294069006Browse SC providers · Browse ZIP 29406
- Phone
- 8438761818
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Student (Health Education/Training)
Other Pediatrics Providers in NORTH CHARLESTON, SC
| Name | Credential | NPI |
|---|---|---|
| DR. AMY REBMAN DIETRICH | MD | 1447250378 |
| MS. JENNIFER ANN NORDBY | M.D. | 1821089459 |
| CAROL K KLAUBER | MD | 1326087099 |
| ANNA C PRUITT | MD | 1023057676 |
| MRS. JENNIFER ADELE MEYER | MD | 1700818358 |
| DR. SUMITA KUMARI DEBROY | MD | 1164538732 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.