Jack Bradley Royal, M.D.
NPI 1134483878ActiveIndividual· Anesthesiology· Cordele, GA
Anesthesiology (M.D.) in Cordele, Georgia, trained at Medical College of Georgia School of Medicine. Medicare paid $18,970 for services to 191 patients in 2024. Boston Scientific Corporation reported $14.45 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1134483878 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 27, 2012 |
| Last updated in NPPES | Mar 21, 2021 |
| Certified by provider | Mar 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | TRN17253 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 191 |
|---|---|
| Services billed | 232 across 48 procedure codes |
| Paid by Medicare | $18,970 |
Education and affiliations
| Medical school | Medical College of Georgia School of Medicine |
|---|---|
| Medicare specialty | Anesthesiology |
Medical group
- Ams Southeast LLCStatesboro, GA · 86 clinicians
Hospital affiliation
- Crisp Regional HospitalCordele, GA
Industry payments (Open Payments)
- 2025$14.45 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $14.45 | 1 |
What the 2025 payments were for
- Food and Beverage$14.45 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Anesthesiology providers in Cordele
- 1669807202
- 1053329268
- 1124238878