Individual provider Active NPI

Leyanet Gonzalez, MD

  • Emergency Medicine Physician
  • Greensboro, NC
National Provider Identifier
1841752060
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2025-01977 Issued in NC
Practice address
2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone
(336) 716-9150
Fax
(336) 702-9166
NPI assigned
Apr 5, 2019
Reactivated
Apr 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2025-01977 NC Primary

Addresses

Primary practice location

2005 Pisgah Church Rd
Greensboro, NC 27455-3309

Mailing address

2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone (336) 716-9150

Other practice location 1

Medical Center Boulevard
Winston Salem, NC 27157-0001
Phone (336) 716-1902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260202003406 NC Practitioner - Emergency Medicine 3476933946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone (336) 701-2662

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-01977NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jan 28, 2026 Accepting new patients

Locations

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

2005 Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 701-2662

3120 Northline Ave
Ste 103
Greensboro, NC 27408
Phone (336) 713-0818

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 2

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": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1841752060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PISGAH CHURCH RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553309",
            "telephone_number": "336-716-9150",
            "fax_number": "336-702-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PISGAH CHURCH RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553309",
            "telephone_number": "336-716-9150",
            "fax_number": "336-702-9166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Boulevard",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-1902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LEYANET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "deactivation_date": "2022-03-30",
        "reactivation_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2025-01977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.