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

Jason Clark

Individual provider Certified Registered Nurse Anesthetist · NPI 1306197348

Jason Clark is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Tennessee. Qualified in 2012, 14 years ago. Practices with Gastroenterology Center of the Midsouth PLLC, a 150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
14
Licensed in
MS, TN
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301
Phone: (731) 541-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1208 Office Park Dr, Oxford, MS 38655-3597 — (662) 234-9888

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 16994 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 810611 (MS)

Record details

NPI number1306197348
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 1, 2012
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address620 Skyline Dr, Jackson, TN 38301-3923

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Gastroenterology Center Of The Midsouth Pllc — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Jackson