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

Jon Albert Clark, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1285675702

Jon Albert Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Greenville, South Carolina. Qualified in 1998, 28 years ago. Practices with Atlantic Coast Anesthesia Services PC, a 76-clinician group and accepts Medicare assignment. Licensed in Michigan and South Carolina.

Years since qualifying
28
Licensed in
MI, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 22193 (SC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 4704263474 (MI)

Record details

NPI number1285675702
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Atlantic Coast Anesthesia Services Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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