Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jake Barrett Wilson

Individual provider Gastroenterology Physician · NPI 1245792357

Jake Barrett Wilson is a Gastroenterology in Charleston, South Carolina. Qualified in 2019, 7 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
In the registry since
2019

Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-0100
Phone: (843) 792-1414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 88451 (SC)

Record details

NPI number1245792357
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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