Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Bradley Royal, MD

Individual provider Anesthesiology Physician · NPI 1134483878

Jack Bradley Royal, MD is an Anesthesiology in Cordele, Georgia. Practices with Ams Southeast LLC, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Licensed in
FL
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

902 N 7th St
Cordele, GA 31015-3234
Phone: (229) 276-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Sw Archer Rd, Gainesville, FL 32610-3003 — (352) 265-0077

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence TRN17253 (FL)

Record details

NPI number1134483878
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 27, 2012
Last updated in NPPESMarch 21, 2021
Certification dateMarch 21, 2021
Mailing address307 E 3rd Ave, Cordele, GA 31015-3208

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Group practice Ams Southeast Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cordele