Jon Albert Clark, C.R.N.A.
NPI 1285675702ActiveIndividual· Nurse Anesthetist, Certified Registered· Greenville, SC
Nurse Anesthetist, Certified Registered (C.R.N.A.) with Atlantic Coast Anesthesia Services PC, practicing in Greenville, South Carolina. Medicare paid $13,722 for services to 120 patients in 2024. Davol Inc. reported $17.75 in payments in 2024, mostly food and beverage. Lists Grand Strand Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1285675702 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | C.R.N.A. |
| Sole proprietor | No |
| NPI issued | Jun 8, 2006 |
| Last updated in NPPES | Jan 3, 2022 |
| Certified by provider | Jan 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 22193 | SC |
| Nurse Anesthetist, Certified Registered | 367500000X | 4704263474 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 120 |
|---|---|
| Services billed | 123 across 41 procedure codes |
| Paid by Medicare | $13,722 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Atlantic Coast Anesthesia Services PCMyrtle Beach, SC · 68 clinicians
Hospital affiliation
- Grand Strand Regional Medical CenterMyrtle Beach, SC
Industry payments (Open Payments)
- 2024$17.75 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $17.75 | 1 |
What the 2024 payments were for
- Food and Beverage$17.75 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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