NPIMap

Individual provider Active NPI

Anita Vann Royal, CRNA

  • Certified Registered Nurse Anesthetist
  • Clinton, NC
National Provider Identifier
1104964048
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
045156 Issued in NC
Practice address
607 Beaman St
Clinton, NC 28328-2603
Phone
(910) 592-8511
Fax
(910) 590-8761
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 045156 NC Primary

Addresses

Primary practice location

607 Beaman St
Clinton, NC 28328-2603

Mailing address

500 Butler Dr
Clinton, NC 28328-2812
Phone (910) 592-3837

Other practice location 1

501 S Poplar St
Elizabethtown, NC 28337-9375
Phone (910) 862-5100

Other practice location 2

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-5132

Other identifiers 1

IdentifierTypeStateIssuer
8050402MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040918000059 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002884079 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland County Hospital System Inc 581 clinicians
Wayne Memorial Hospital Inc 29 clinicians
Sampson Regional Medical Services, LLC 7 clinicians

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-5610

2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 731-6142

607 Beaman St
Clinton, NC 28328-2603
Phone (910) 592-8511

Hospital & facility affiliations

  • Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024
  • Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045156NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Hospital Inc CurrentSince Dec 26, 2023 Accepting new patients
Digestive Health Endoscopy Center Anesthesiology CurrentSince Feb 1, 2020 Accepting new patients
Wayne Health Physicians Current Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Sep 15, 2017 Accepting new patients
Wayne Memorial Hospital Inc CurrentSince Dec 26, 2023 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Bladen Healthcare LLC CurrentSince Sep 15, 2017 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Sep 15, 2017 Accepting new patients
Sampson Regional Medical Services, LLC CurrentSince Jul 1, 2007 Accepting new patients
Sampson Regional Medical Services LLC Anesthesiology CurrentSince Jul 1, 2007 Accepting new patients
Bladen Healthcare, LLC CurrentSince Sep 15, 2017 Accepting new patients

Locations

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

603 Beaman St
Ste 200
Clinton, NC 28328
Phone (910) 592-8711

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

3202 Boone Trl
Fayetteville, NC 28306
Phone (910) 223-7011

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1104964048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BUTLER DR",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282812",
            "telephone_number": "910-592-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282603",
            "telephone_number": "910-592-8511",
            "fax_number": "910-590-8761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Poplar St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379375",
            "country_code": "US",
            "telephone_number": "910-862-5100",
            "fax_number": "910-862-5129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-5132",
            "fax_number": "910-321-6236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROYAL",
        "first_name": "ANITA",
        "middle_name": "VANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "045156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8050402",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.