PHYLLIS EVON SOLOMON FNP
NPI 1306337332
Nurse Practitioner - Family in Statesboro, GA

Active since May 25, 2018PECOS EnrolledAccepts Medicare Assignment
1570 BRAMPTON AVE, STATESBORO, GA 30458(912) 764-9196 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2023, Nov 17, 2021, May 25, 2018 (3 updates tracked since 2018).

About Phyllis Evon Solomon Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS EVON SOLOMON FNP (NPI 1306337332) is an individual family provider in Statesboro, Georgia, licensed in Georgia (RN150971) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with East Georgia Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306337332
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePHYLLIS EVON SOLOMONCredential: FNP
Location Address1570 BRAMPTON AVEStatesboro, GA 30458-0855
Mailing Address1570 Brampton AveStatesboro, GA 30458-0855 · (912) 764-9196
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 25, 2018
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1306337332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN150971
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License RN150971 (GA)
1570 BRAMPTON AVE, Statesboro, GA 30458

Other Names 1

Other Name (5)Phyliss Evon Solomon Fnp

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phyllis Evon Solomon Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971841602
PECOS Enrollment IDI20190205001670
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Phyllis Solomon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1570 BRAMPTON AVENUE
Statesboro, GA 30458
  • Reassigned Medicare billing, Georgia enrollment
  • 46 clinicians in this Medicare group
Public Health or Welfare
1 W ALTMAN ST
Statesboro, GA 30458
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110075
Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1570 BRAMPTON AVE
STATESBORO, GA 30458
Pediatrics
1570 BRAMPTON AVE
STATESBORO, GA 30458
Clinic/Center (Federally Qualified Health Center (FQHC))
1570 BRAMPTON AVE
STATESBORO, GA 30458
Nurse Practitioner
1570 BRAMPTON AVE
STATESBORO, GA 30458
Pediatrics
1570 BRAMPTON AVE
STATESBORO, GA 30458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Solomon's NPI number?

The NPI number for Phyllis Solomon is 1306337332. It was assigned to this individual provider in the NPPES registry on May 25, 2018. The provider is also known as Phyliss Evon Solomon Fnp.

Where is Phyllis Solomon located?

Phyllis Solomon practices at 1570 Brampton Ave, Statesboro, GA 30458. The listed phone number is (912) 764-9196.

What is Phyllis Solomon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Phyllis Solomon enrolled in Medicare?

Yes. Phyllis Solomon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Phyllis Solomon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Solomon reassigns Medicare benefits to 2 organizations: East Georgia Healthcare Center Inc (Statesboro, GA) and Bulloch County Board Of Health (Statesboro, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phyllis Solomon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phyllis Solomon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Phyllis Solomon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Phyllis Solomon affiliated with any hospitals?

According to CMS data, Phyllis Solomon is affiliated with East Georgia Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Phyllis Solomon was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.