JACK BRADLEY ROYAL M.D.
NPI 1134483878
Anesthesiology in Cordele, GA

Q: What is Jack Royal's NPI number?

The NPI number for Jack Royal is 1134483878. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Q: What is Jack Royal's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Royal was last updated on March 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 27, 2012PECOS EnrolledAccepts Medicare Assignment

902 N 7TH ST, CORDELE, GA 31015(229) 276-3100 Get Directions Write a Review

NPPES record last updated: March 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2021, Jun 3, 2019 (2 updates tracked since 2019).

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About Jack Bradley Royal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK BRADLEY ROYAL M.D. (NPI 1134483878) is an individual anesthesiology provider in Cordele, Georgia, licensed in Florida (TRN17253) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Crisp Regional Hospital, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1134483878

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameJACK BRADLEY ROYALCredential: M.D.

Location Address902 N 7TH STCordele, GA 31015-3234

Mailing Address307 E 3rd AveCordele, GA 31015-3208 · (229) 271-4656

Phone(229) 276-3100

Sole ProprietorYes

Medical School CMSMedical College Of Georgia School Of Medicine

Enumeration DateJune 27, 2012

Last NPPES UpdateMarch 21, 20212 updates tracked since enumeration

NPPES CertifiedMarch 21, 2021

✔ NPI 1134483878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in FL · TRN17253

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

902 N 7TH ST, Cordele, GA 31015

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Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 265-0077

Other Identifiers 1

Medicaid003180038CGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Bradley Royal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597993691

PECOS Enrollment IDI20161031000047

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

46 services45 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

26 services26 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

22 services22 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

18 services17 patients

Anesthesia for other procedure on urinary system through urethra 00910

Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.

18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crisp Regional Hospital

Acute Care Hospitals · Cordele, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110104

Location902 7th Street NorthCordele, GA 31015 · Crisp County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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