Individual provider Active NPI

Bernard A Royal Jr., APRN, FNP-C

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1992401152
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP266345 Issued in GA
Practice address
853 Graeme Dr
McDonough, GA 30252-7238
Phone
(347) 791-9145
NPI assigned
Jan 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP266345 GA Primary
Family Nurse Practitioner 363LF0000X 1117209 TX

Addresses

Primary practice location

853 Graeme Dr
McDonough, GA 30252-7238

Mailing address

853 Graeme Dr
McDonough, GA 30252-7238
Phone (347) 791-9145

Other practice location 1

2086 Jodeco Rd # 1055
McDonough, GA 30253-5220
Phone (678) 831-6380

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260514003019 GA Practitioner - Nurse Practitioner 4880163260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

853 Graeme Dr
McDonough, GA 30252-7238

PO Box
Macon, GA 31221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN266345GAMDFamily Nurse Practitioner
1117209TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Naesm, Inc. CurrentSince Feb 4, 2024 Accepting new patients
Total Life Care Center CurrentSince Feb 4, 2024 Accepting new patients
Royal Nursing & Training Institute Family CurrentSince Aug 27, 2023 Accepting new patients
Naesm Health & Wellness Center PastSince May 1, 2023 Accepting new patients

Locations

315 14th St NW
Atlanta, GA 30318
Phone (404) 691-8880

3863 Highway 138 SE
Unit 35
Stockbridge, GA 30281
Phone (347) 791-9145

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1992401152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 GRAEME DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302527238",
            "telephone_number": "347-791-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 GRAEME DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302527238",
            "telephone_number": "347-791-9145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2086 Jodeco Rd # 1055",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302535220",
            "country_code": "US",
            "telephone_number": "678-831-6380",
            "fax_number": "845-302-8638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROYAL",
        "first_name": "BERNARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP266345",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1117209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.