Active NPI
Jeremy Todd Royal, M.D.
- Diagnostic Radiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 67312
- Practice address
- 1000 Johnson Ferry Rd
Atlanta, GA 30342 - Phone
- (404) 851-6323
- Fax
- (404) 303-3747
- NPI assigned
- Jun 7, 2007
- Last updated
- May 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 28589 | AL | |
| Diagnostic Radiology Physician | 2085R0202X | MD36307 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 67312 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd
Atlanta, GA 30342
Mailing address
5605 Glenridge Dr Ste 325
Atlanta, GA 30342-1365
Phone (678) 553-7783
Other practice location 1
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (205) 731-9701
Other practice location 2
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (205) 731-9701
Other identifiers 21
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129082 | Medicaid | AL | |
| 129084 | Medicaid | AL | |
| 129086 | Medicaid | AL | |
| 051116339 | Other | AL | BCBS |
| 051116343 | Other | AL | BCBS |
| 051116334 | Other | AL | BCBS |
| 051116342 | Other | AL | BCBS |
| 051116336 | Other | AL | BCBS |
| 051116341 | Other | AL | BCBS |
| 051116335 | Other | AL | BCBS |
| 051116344 | Other | AL | BCBS |
| 06104821 | Medicaid | MS | |
| 129079 | Medicaid | AL | |
| 129088 | Medicaid | AL | |
| 129081 | Medicaid | AL | |
| 051116333 | Other | AL | BCBS |
| 051116340 | Other | AL | BCBS |
| 129080 | Medicaid | AL | |
| 129083 | Medicaid | AL | |
| 129085 | Medicaid | AL | |
| 129087 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 662-2438
102 Grand Cres
Alpharetta, GA 30009-6817
Phone (336) 274-6682
50 Tuxedo Ter NW
Atlanta, GA 30342-4030
Phone (336) 274-6682
Hospital & facility affiliations
- Northside Hospital Forsyth
- Northside Hospital Cherokee
- Northside Hospital
- Moses H. Cone Memorial Hospital, the
- Alamance Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.75 of 100
- Quality
- 96.18
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28589 | AL | MD | Diagnostic Radiology Physician |
| 67312 | GA | MD | Diagnostic Radiology Physician |
| MD36307 | SC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| The Emory Clinic Inc | Diagnostic Radiology | Current | Accepting new patients |
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Greensboro Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Clinch County Hospital Authority | Current | Accepting new patients | |
| Ortho Sport & Spine Physicians of Illinois | Past | Accepting new patients | |
| Emergeortho PA | Past | Accepting new patients | |
| Open MRI of Georgia, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Ortho Sport & Spine Physicians of Tennessee, PLLC | Past | Accepting new patients |
Locations
100 Galleria Pkwy SE
Ste 1450
Atlanta, GA 30339
Phone (770) 952-8899
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
3193 Howell Mill Rd NW
Ste 110
Atlanta, GA 30327
Phone (404) 352-0444
400 Walmart Way
Ste Fb
Dahlonega, GA 30533
Phone (706) 867-7666
1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
5605 Glenridge Dr
Ste 325
Sandy Springs, GA 30342
Phone (678) 553-7783
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1013960657
-
- Critical Access Hospital
- Homerville, GA
- NPI 1861478851
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
GA
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
GA
-
dba Johns Creek Diagnostic Center
- Diagnostic Radiology Physician
- Suwanee, GA
- NPI 1669875902
-
- Orthopaedic Surgery Physician
- Durham, NC
- NPI 1376592964
-
- Physical Medicine & Rehabilitation Physician
- Oakbrook Terrace, IL
- NPI 1255049821
-
- Physical Medicine & Rehabilitation Physician
- Nashville, TN
- NPI 1821706979
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1730382821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 GLENRIDGE DR STE 325",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421365",
"telephone_number": "678-553-7783",
"fax_number": "678-553-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "404-851-6323",
"fax_number": "404-303-3747"
}
],
"practiceLocations": [
{
"address_1": "80 Jesse Hill Jr Dr SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303033031",
"country_code": "US",
"telephone_number": "205-731-9701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Jesse Hill Jr Dr SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303033031",
"country_code": "US",
"telephone_number": "205-731-9701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROYAL",
"first_name": "JEREMY",
"middle_name": "TODD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "28589",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "MD36307",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "67312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129082",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129084",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129086",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051116339",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051116343",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051116334",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051116342",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051116336",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051116341",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051116335",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051116344",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06104821",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129079",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129088",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129081",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051116333",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051116340",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129080",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129083",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129085",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129087",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.