Active NPI
Jeffrey Scott Clark, CRNA
- Certified Registered Nurse Anesthetist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024185771
- Practice address
- 1250 E Marshall St
Richmond, VA 23298-5023 - Phone
- (804) 828-2207
- Fax
- (804) 828-8300
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024185771 | VA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 14744 | TN |
Addresses
Primary practice location
1250 E Marshall St
Richmond, VA 23298-5023
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1020
Other practice location 2
618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 443-3311
Other practice location 3
11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 364-6640
Other practice location 4
400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1602 Skipwith Rd
Henrico, VA 23229-5205
Phone (804) 289-4500
Hospital & facility affiliations
- Henrico Doctors' Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Ambulatory Anesthesia Services of Missouri LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Freeman Neosho Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, TN
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Joplin, MO
- NPI 1780831107
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Neosho, MO
- NPI 1164451746
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1194762294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1811103138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E MARSHALL ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985023",
"telephone_number": "804-828-2207",
"fax_number": "804-828-8300"
}
],
"practiceLocations": [
{
"address_1": "300 Med Tech Pkwy",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042277",
"country_code": "US",
"telephone_number": "423-302-1020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "618 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Tappahannock",
"state": "VA",
"postal_code": "225605000",
"country_code": "US",
"telephone_number": "804-443-3311",
"fax_number": "804-443-6150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11958 W Broad St",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232331007",
"country_code": "US",
"telephone_number": "804-364-6640",
"fax_number": "804-364-6642",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N State Of Franklin Rd",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046035",
"country_code": "US",
"telephone_number": "423-431-6111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024185771",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "14744",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.