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

Q: 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.

Q: What is Phyllis Solomon's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

Phone(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

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Other Names 1

Other Name (5)Phyliss Evon Solomon Fnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

SREEVALLI DEGA MD

Family Medicine