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

Micah Shea Clark

Individual provider Certified Registered Nurse Anesthetist · NPI 1205902236

Micah Shea Clark is a Certified Registered Nurse Anesthetist (CRNA) in Oak Ridge, Tennessee. Qualified in 2006, 20 years ago. Practices with Covenant Anesthesia Group PC, a 233-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
20
Licensed in
TN
In the registry since
2006

Practice location Address checks out

990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone: (931) 858-6303
Fax: (931) 858-6305
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 075331 (TN)

Record details

NPI number1205902236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 5059, Oak Ridge, TN 37831-5059

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Covenant Anesthesia Group Pc — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oak Ridge