Active NPI 1134483878 Individual Practitioner Male Practitioner

Dr. Jack Bradley Royal , MD

Anesthesiology • Cordele, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Royal, MD is a qualified Anesthesiology in Cordele, GA. An alumnus of Medical College Of Georgia School Of Medicine, Dr. Royal provides patient-centered medical care at 902 N 7TH ST.

Dr. Royal is affiliated with Ams Southeast Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on small and large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

902 N 7th St

Cordele, GA 310153234

Telephone 2292763100

Associated Practice Facility / Clinic

🏢 Radiology Associates Of Cordele Facility NPI 1245214709

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Cordele, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.5 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Cordele, GA (1464 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	46	45	$716.39	$94.38
00813 Anesthesia for procedure on small and large bowel using an endoscope	26	26	$1044.15	$120.50
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	22	22	$705.14	$96.89
00910 Anesthesia for other procedure on urinary system through urethra	18	18	$518.00	$61.96
00812 Anesthesia for exam of colon using an endoscope	18	17	$636.61	$69.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	34	33	$744.12	$82.84
00813 Anesthesia for procedure on small and large bowel using an endoscope	28	28	$935.71	$120.16
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	27	25	$803.70	$97.85
00910 Anesthesia for other procedure on urinary system through urethra	15	13	$760.00	$61.81
00812 Anesthesia for exam of colon using an endoscope	11	11	$718.18	$79.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	22	22	$718.18	$124.02
00813 Anesthesia for procedure on small and large bowel using an endoscope	17	17	$935.29	$150.83
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	12	12	$766.67	$127.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	29	29	$758.62	$130.90
00811 Anesthesia for procedure on large bowel using an endoscope	23	23	$704.35	$125.85
00813 Anesthesia for procedure on small and large bowel using an endoscope	17	17	$847.06	$158.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	23	20	$830.43	$140.91
00811 Anesthesia for procedure on large bowel using an endoscope	21	21	$742.86	$116.86
00812 Anesthesia for exam of colon using an endoscope	13	13	$669.23	$88.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	31	31	$722.58	$100.24
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	24	24	$870.83	$120.59
00813 Anesthesia for procedure on small and large bowel using an endoscope	12	12	$933.33	$135.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	25	25	$601.80	$116.15
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	18	17	$579.72	$112.32
00142 Anesthesia for lens surgery	15	14	$366.33	$66.85
00813 Anesthesia for procedure on small and large bowel using an endoscope	15	15	$594.67	$116.80
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$200.00	$31.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00810 Anesthesia for procedure on lower intestine using an endoscope	181	179	$338.52	$77.36
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	82	78	$352.24	$81.46
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	29	$140.00	$31.69
36620 Insertion of artery tube for blood sampling or infusion through skin	21	21	$276.00	$48.66
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	18	18	$882.69	$204.78
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	15	15	$266.80	$59.45
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	14	14	$266.14	$62.40
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	14	14	$345.33	$80.11
00670 Anesthesia for procedure on spine and spinal cord	13	13	$1149.29	$266.63
00910 Anesthesia for other procedure on urinary system through urethra	12	12	$300.15	$69.63

Medical Specialties & State Licenses

CMS Verified: 2021-03-21

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License FL TRN17253

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003180038C (GA)

Hospital & Practice Group Affiliations

Ams Southeast Llc

902 N 7th St, Cordele, GA 310153234

Phone: 2292763100

Secondary Practice Locations

1600 Sw Archer Rd

Gainesville, FL 326103003

Phone: 3522650077

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners

Brandi Newman

Nurse Practitioner

NPI 1023576170

Dr. Afolabi Tiamiyu , MD

Emergency Medicine

NPI 1043472061

Doctor of Medicine (M.D.)

Deanna Thompson , NP-C

Nurse Practitioner - Family

NPI 1073125159

Nurse Practitioner (Certified)

Dr. Guy Young , MD

Anesthesiology

NPI 1124238878

Doctor of Medicine (M.D.)

Oscar Teal , NP

Nurse Practitioner - Family

NPI 1144698887

Nurse Practitioner

Dr. Guido Ring , MD

Internal Medicine

NPI 1174595904

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 21, 2021

Registered at 902 N 7TH ST, CORDELE, GA 310153234 (Tel: 2292763100)

📍

Updated Business Mailing Address March 21, 2021

Registered at 307 E 3RD AVE, CORDELE, GA 310153208 (Tel: 2292714656)

✅

NPI Profile Active June 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 27, 2012

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3522650077)

📍

Updated Business Mailing Address June 27, 2012

Registered at 4000 NW 51ST ST, K204, GAINESVILLE, FL 326064333 (Tel: 2298691527)

👤

Provider Name / Credentials Updated June 27, 2012

Recorded as JACK ROYAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2012

Anesthesiology (License #TRN17253 in FL)

🟢

Initial NPI Registration & Enumeration June 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134483878

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 27, 2012

Last Update: March 21, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

307 E 3rd Ave

Cordele, GA 310153208

Phone: 2292714656

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.