Gulf Shoals PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GULF SHOALS PLLC

Practice address

3100 Peters Colony Rd
Flower Mound, TX 75022-2949

Phone

(469) 443-6127

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Junaid Laheji, MDNPI 1225562275

Title

Owner

Phone

(469) 443-6127

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Junaid Laheji, MD

  • Family Medicine Physician
  • Flower Mound, TX
  • NPI 1225562275
  Medicare reassignment Care Compare group NPD Authorized official
• Alexander Lee Pendergrass, FNP-C

  • Family Nurse Practitioner
  • Bridgeport, TX
  • NPI 1982212841
  Medicare reassignment Care Compare group NPD
• Lucy Cao Nguyen

  • Physician Assistant
  • Arlington, TX
  • NPI 1093331860
  Medicare reassignment Care Compare group
• Anthony L Fajardo, N.P.

  • Acute Care Nurse Practitioner
  • Irving, TX
  • NPI 1407367592
  Medicare reassignment NPD
• Ashley Elizabeth Hall, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1992326102

  TX

  Medicare reassignment NPD
• Babita Upreti

  • Gerontology Nurse Practitioner
  • Colleyville, TX
  • NPI 1023711751
  Medicare reassignment
• Syed Tahsin Ahmed, D.O.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1477811321
  NPD (past)

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1497515894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 GULF STREAM LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760018471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PETERS COLONY RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222949",
            "telephone_number": "469-443-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF SHOALS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "LAHEJI",
        "authorized_official_first_name": "JUNAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-443-6127",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollis A Groom, CNM
• Marsha Gross, APRN, CNM, MSN
• Kerin K. Groves, PHD, LPC-S
• Grow With Greene, PT
• Karen Guerrero
• Chris Gunn, O.D.
• Autumn Aron Gunnels
• Sowjanya Gunukula
• Sapana Gurung
• Christopher Guzniczak, MA, LPC INTERN

• Family Medicine Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.