Individual provider Active NPI

Justin Garrett Hacnik, MD

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1043897747
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U3863 Issued in TX
Practice address
600 Elizabeth Street
9B/Gme
Corpus Christi, TX 78404
Phone
(361) 861-1864
NPI assigned
Mar 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X BP10074735 TX
Emergency Medicine Physician 207P00000X U3863 TX Primary

Addresses

Primary practice location

600 Elizabeth Street
9B/Gme
Corpus Christi, TX 78404

Mailing address

600 Elizabeth St
9B/Gme
Corpus Christi, TX 78404-2235
Phone (361) 861-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713001767 TX Practitioner - Emergency Medicine 9830559582 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Nevada School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians

Practice addresses (Care Compare)

1311 E Gen Cvazos Blvd
Kingsville, TX 78363-7150
Phone (361) 595-1661

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10074735TXMDEmergency Medicine Physician
U3863TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Emergency Medicine Associates, PA Emergency Medicine CurrentSince May 29, 2023 Accepting new patients
Texas Emergency Group LLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Gulf Coast Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Christus Spohn Health System Corporation Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

600 Elizabeth St
#9
Corpus Christi, TX 78404
Phone (361) 861-1864

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1043897747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH ST",
            "address_2": "9B/GME",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042235",
            "telephone_number": "361-861-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH STREET",
            "address_2": "9B/GME",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78404",
            "telephone_number": "361-861-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACNIK",
        "first_name": "JUSTIN",
        "middle_name": "GARRETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-27",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP10074735",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U3863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.