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

Justin Benavides

Individual provider Family Nurse Practitioner · NPI 1659191203

Justin Benavides is a Nurse Practitioner in San Antonio, Texas. Qualified in 2024, 2 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

14317 Potranco Rd Ste 207
San Antonio, TX 78253-7126
Phone: (726) 200-2499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1178129 (TX)

Record details

NPI number1659191203
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2024
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Antonio